Organization Active NPI

Advanced Medical Associates of Westchester, PC

  • Legal Medicine
  • Yonkers, NY
National Provider Identifier
1619101581
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
247049 Issued in NY
Legal business name
ADVANCED MEDICAL ASSOCIATES OF WESTCHESTER, PC
Practice address
880 Mile Square Rd
Suite 2
Yonkers, NY 10704-2141
Phone
(914) 207-7600
Fax
(914) 207-7601
NPI assigned
May 7, 2009
Last updated
Dec 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Mr. Tamir Kharouba, MD
Title
President-Owner
Phone
(914) 207-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 247049 NY Primary

Addresses

Primary practice location

880 Mile Square Rd
Suite 2
Yonkers, NY 10704-2141

Mailing address

880 Mile Square Rd
Suite 2
Yonkers, NY 10704-2141
Phone (914) 207-7600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1619101581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MILE SQUARE RD",
            "address_2": "SUITE 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042141",
            "telephone_number": "914-207-7600",
            "fax_number": "914-207-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MILE SQUARE RD",
            "address_2": "SUITE 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042141",
            "telephone_number": "914-207-7600",
            "fax_number": "914-207-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ASSOCIATES OF WESTCHESTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "KHAROUBA",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "914-207-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "247049",
            "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 Dec 22, 2012; 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.