Active NPI
All Borough Physician Services Medical PC
- Pain Medicine (Anesthesiology) Physician
- Port Chester, NY
National Provider Identifier
1619138419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 198461
- 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, 2016
- 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
- Dr. Igor Yukelis, M.D.
- Title
- Owner
- Phone
- (914) 772-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618386 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.