Organization Active NPI

All Borough Physician Services Medical PC

  • Pain Medicine (Anesthesiology) Physician
  • Port Chester, NY
National Provider Identifier
1619138419
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
198461 Issued in NY
Legal business name
ALL BOROUGH PHYSICIAN SERVICES MEDICAL PC
Practice address
1000 High St
Port Chester, NY 10573-4402
Phone
(914) 772-2244
NPI assigned
Jun 24, 2008
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Dr. Igor Yukelis, M.D.
Title
Owner
Phone
(914) 772-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 198461 NY Primary

Addresses

Primary practice location

1000 High St
Port Chester, NY 10573-4402

Mailing address

31 Prospect Ave
Larchmont, NY 10538-4151

Other identifiers 1

IdentifierTypeStateIssuer
01618386MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1619138419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PROSPECT AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105384151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734402",
            "telephone_number": "914-772-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL BOROUGH PHYSICIAN SERVICES MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "YUKELIS",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-772-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "198461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01618386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.