Active NPI
Civic Infusion Westchester, LLC
- Infusion Therapy Clinic/Center
- Valhalla, NY
National Provider Identifier
1629615331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- CIVIC INFUSION WESTCHESTER, LLC
- Practice address
- 400 Columbus Ave
Valhalla, NY 10595-1305 - Phone
- (203) 883-0038
- NPI assigned
- Dec 2, 2019
- 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
- Barry D Stein, MD
- Title
- President
- Phone
- (203) 883-0038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
400 Columbus Ave
Valhalla, NY 10595-1305
Mailing address
400 Columbus Ave
Valhalla, NY 10595-1305
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575244800000",
"number": "1629615331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951305",
"telephone_number": "203-883-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIVIC INFUSION WESTCHESTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-883-0038",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.