Active NPI
Westchester Medical Center Advanced Physician Services, PC
- Internal Medicine Physician
- Hawthorne, NY
National Provider Identifier
1588099154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008508
- Legal business name
- WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, PC
- Practice address
- 19 Bradhurst Ave
Hawthorne, NY 10532-2140 - Phone
- (914) 909-9018
- Fax
- (914) 909-9028
- NPI assigned
- Sep 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark J. Fersko
- Title
- VP, Financial Planning
- Phone
- (914) 493-7000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008508 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 008508 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 008508 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 008508 | NY | |
| Rheumatology Physician | 207RR0500X | 008508 | NY |
Addresses
Primary practice location
19 Bradhurst Ave
Hawthorne, NY 10532-2140
Mailing address
19 Bradhurst Ave
Suite 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0946714 | Westchester Medical Center Advanced | Provider-performed microscopy | Mar 26, 2027 |
| 33D2011929 | Westchester Medical Center Advanced | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Westchester Medical Center Advanced Physician Services PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Valhalla, NY
- NPI 1912384223
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1588099154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "SUITE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "FERSKO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "VP, FINANCIAL PLANNING",
"authorized_official_telephone_number": "914-493-7000"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "008508",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "008508",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "008508",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "008508",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "008508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
- John J Welter, MD
- Westchester Chapter Nysarc, Inc
- Westchester County Health Care Corp
- Westchester County Health Care Corporation
- Westchester County Health Care Corporation
- Westchester Oncology & Hematology Group, P.C.
- Westchester Oral & Maxillofacial Associates, PLLC
- Westchester Pet & Medical Imaging, PC
- Nan Y Whang
- Desmond White, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.