New York Medical Physician Associates PC
Organization Active NPI Hospitalist Physician · Utica, NY
NPI 1619722147 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1619722147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC
- Practice address
- 111 Hospital Dr
Utica, NY 13502-2517 - Phone
- (315) 917-9966
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Vice President
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 2
Practitioners 57
-
Sameer Aggarwal, M.D.
-
Shaikh Mamun Ahmed, M.D.
-
Fatima Anwer, M.D.
-
Matthew Blando, MD
-
Oleg Dulkin, MD
-
Tariq Farooqi, M.D.
-
Prajesh Mani Ghimire, M.D.
-
Rashid Girshab, MD
-
Patrick D Jean-Pierre, M.D.
-
Goutham K Malempati, M.D.
-
Ranjit Mandhare, MD
-
Tanya M Marr, FNP
-
Amina Mookshah, M.D
-
Dominique Noel, MD
-
Fatima Iole Nottingham, DNP, ACNP-BC
-
Bruce Stephen Portner, M.D.
-
Anand P Ravi, MD
-
Sanela Sehovic, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430000132 | NY | Part B Supplier - Clinic/Group Practice | 6709226350 |
Receives reassigned benefits from 322 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Margaretville, NY; Warwick, NY; Utica, NY; Suffern, NY; Poughkeepsie, NY; Port Jervis, NY; Kingston, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
111 Hospital Dr
Utica, NY 13502-2517
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 851-7501
NPI Registry JSON
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1619722147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-851-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135022517",
"telephone_number": "315-917-9966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "510-350-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
- Karen Ann Nesci
- Norman Neslin
- Amanda Netzband
- New Hartford Scanner Associates
- New York Em-III Medical Services, PC
- Heather Marie Newcombe
- Rebecca Ashley Newman
- Rachyl Newton
- Jonathan Nguyen
- Laurence Nguyen
All providers in Utica, NY · Hospitalist Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.