Organization Active NPI

Electrophysiologic Medical Diagnostics, PC

  • Physical Medicine & Rehabilitation Physician
  • Hartsdale, NY
National Provider Identifier
1578848123
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
198383 Issued in NY
Legal business name
ELECTROPHYSIOLOGIC MEDICAL DIAGNOSTICS, PC
Practice address
146 Alexander Ave
Hartsdale, NY 10530-1802
Phone
(914) 907-5846
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Dina S Nelson, M.D.NPI 1154421998
Title
President
Phone
(914) 907-5846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 198383 NY Primary

Addresses

Primary practice location

146 Alexander Ave
Hartsdale, NY 10530-1802

Mailing address

146 Alexander Ave
Hartsdale, NY 10530-1802
Phone (914) 907-5846

Other identifiers 1

IdentifierTypeStateIssuer
02842813MedicaidNY

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": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1578848123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ALEXANDER AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301802",
            "telephone_number": "914-907-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ALEXANDER AVE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301802",
            "telephone_number": "914-907-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROPHYSIOLOGIC MEDICAL DIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-907-5846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "198383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02842813",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.