Gerald I. Yudell M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

084508 Issued in NY

Legal business name

GERALD I. YUDELL M.D. P.C.

Practice address

504 Gramatan Ave.
Mt. Vernon, NY 10552

Phone

(914) 668-2178

Fax

(914) 668-2259

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gerald I. Yudell

Title

President

Phone

(914) 668-2178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1639438427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GRAMATAN AVE.",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "10552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GRAMATAN AVE.",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "914-668-2178",
            "fax_number": "914-668-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD I. YUDELL M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "YUDELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-668-2178",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "084508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Mt. Vernon, NY
• Providers in Mt. Vernon, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.