Judy R. Anderson,M.D.,P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

202419 Issued in NY

Legal business name

JUDY R. ANDERSON,M.D.,P.C.

Practice address

984 N Broadway
Ste 310
Yonkers, NY 10701-1318

Phone

(914) 963-0010

Fax

(914) 963-8406

NPI assigned

Dec 1, 2006

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judy R Anderson, MDNPI 1568427441

Title

Physician

Phone

(914) 963-0010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Judy R Anderson, MD

  • Dermatology Physician
  • Yonkers, NY
  • NPI 1568427441
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1629146113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "address_2": "STE 310",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-963-0010",
            "fax_number": "914-963-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "address_2": "STE 310",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-963-0010",
            "fax_number": "914-963-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY R. ANDERSON,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-963-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "202419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gary Josephberg, MD
• Anil Joshi, M.D.
• Kelly Ann Jost
• Sonny Joy, FNP
• JSNR Pharmacy LLC (Health RX Inc)
• Julia Dyckman Andrus Memorial
• Julia Dyckman Andrus Memorial
• Julia Dyckman Andrus Memorial, Inc. (Andrus Children's Center)
• Joonsuk Jun, RPA-C
• Just on Time Limo Inc

• Dermatology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.