Organization Active NPI

Tina Discepola Medical, PC

  • General Practice Physician
  • Yonkers, NY
National Provider Identifier
1538456355
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
192494 Issued in NY
Legal business name
TINA DISCEPOLA MEDICAL, PC
Practice address
1034 N Broadway
Family Medicine of Westchester
Yonkers, NY 10701-1328
Phone
(914) 909-2546
Fax
(914) 909-2546
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Constantina Discepola, M.D.NPI 1992917959
Title
President/Owner
Phone
(914) 909-2546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 192494 NY Primary

Addresses

Primary practice location

1034 N Broadway
Family Medicine of Westchester
Yonkers, NY 10701-1328

Mailing address

1193 Dobbs Ferry Rd
White Plains, NY 10607-2605
Phone (914) 909-2546

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1538456355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 DOBBS FERRY RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072605",
            "telephone_number": "914-909-2546",
            "fax_number": "914-909-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N BROADWAY",
            "address_2": "FAMILY MEDICINE OF WESTCHESTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011328",
            "telephone_number": "914-909-2546",
            "fax_number": "914-909-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA DISCEPOLA MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "DISCEPOLA",
        "authorized_official_first_name": "CONSTANTINA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "914-909-2546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "192494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.