Individual provider Active NPI

John Schirripa, M.D.

  • Specialist
  • Yonkers, NY
National Provider Identifier
1619083524
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
162459 Issued in NY
Practice address
750 Kimball Avenue
Yonkers, NY 10704
Phone
(914) 237-6763
Fax
(914) 237-7347
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 162459 NY Primary

Addresses

Primary practice location

750 Kimball Avenue
Yonkers, NY 10704

Mailing address

1010 N Broadway
Yonkers, NY 10701-1303
Phone (914) 968-3535

Other identifiers 1

IdentifierTypeStateIssuer
02552716MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000431 NY Practitioner - Internal Medicine 2769383710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University CurrentSince Apr 26, 2010 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince Apr 26, 2010 Accepting new patients

Locations

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

750 Kimball Ave
Yonkers, NY 10704
Phone (914) 237-6763

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1619083524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011303",
            "telephone_number": "914-968-3535",
            "fax_number": "914-968-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KIMBALL AVENUE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "914-237-6763",
            "fax_number": "914-237-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRRIPA",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "162459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02552716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.