Westchester Ambulatory Anesthesia, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

193448 Issued in NY

Legal business name

WESTCHESTER AMBULATORY ANESTHESIA, PLLC

Practice address

16 S Bedford Rd
Suite 3W
Chappaqua, NY 10514-3464

Phone

(914) 844-2864

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Edward Broccoli, MDNPI 1609866060

Title

Owner

Phone

(914) 844-2864

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward John Broccoli, MD

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1609866060
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1538616487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S BEDFORD RD",
            "address_2": "SUITE 3W",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143464",
            "telephone_number": "914-844-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S BEDFORD RD",
            "address_2": "SUITE 3W",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143464",
            "telephone_number": "914-844-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER AMBULATORY ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BROCCOLI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-844-2864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "193448",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "1439052",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "193448",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "1439052",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "193448",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "1439052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid #4222)
• Jodi Weil
• Anne Austin Weissenberger
• Iris Weissman, MS RD CDN
• Gil A Weizer, M.D.
• Jonathan Seth Weyne, MD
• Fabienne Yves Wheeler, M.D.
• Jane Winfield, LCSW
• Mohamed Yahia, MD
• Barbara Anne Yahr, MA, MM, LCAT, CBMT

• Anesthesiology Physician in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.