NPIMap

Organization Active NPI

Yonkers General Medical Practice,PC

  • Health Service Clinic/Center
  • Yonkers, NY
National Provider Identifier
1629491238
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
181742 Issued in NY
Legal business name
YONKERS GENERAL MEDICAL PRACTICE,PC
Practice address
48 Warburton Ave
Yonkers, NY 10701-2723
Phone
(917) 837-4210
NPI assigned
Feb 3, 2014
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Sergio Antonio Martinez, M.D.
Title
President
Phone
(917) 837-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 181742 NY Primary

Addresses

Primary practice location

48 Warburton Ave
Yonkers, NY 10701-2723

Mailing address

48 Warburton Ave
Yonkers, NY 10701-2723
Phone (917) 837-4210

Other identifiers 1

IdentifierTypeStateIssuer
1336171040OtherNYNPI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFFCA

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1629491238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WARBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012723",
            "telephone_number": "917-837-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WARBURTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012723",
            "telephone_number": "917-837-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS GENERAL MEDICAL PRACTICE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-837-4210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "181742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336171040",
            "state": "NY"
        }
    ],
    "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 Feb 3, 2014; 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.