Empire State Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EMPIRE STATE INTERNAL MEDICINE PC

Practice address

2000 E Main St
Peekskill, NY 10566-6816

Phone

(914) 737-8400

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Aravinda Lakshmi Bommareddy, MDNPI 1992869655

Title

Ceo

Phone

(914) 467-8183

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.

• Aravinda L Bommareddy, MD

  • Hospitalist Physician
  • Cortlandt Manor, NY
  • NPI 1992869655

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1659929495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALCOTT CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566657",
            "telephone_number": "914-467-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105666816",
            "telephone_number": "914-737-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BOMMAREDDY",
        "authorized_official_first_name": "ARAVINDA",
        "authorized_official_middle_name": "LAKSHMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-467-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Durante
• Maribel Lynn Dyson, LPN
• Nancy Faye Ehrlich, L.C.S.W.
• Verona Wilson Ekwerekwu, LPN
• Claudette Elliot
• Olaniyi H. Epemolu, D.D.S.
• Gina Esterly
• Evaline Obare Family Health Nurse Practitioner PC
• Evergreen Pharmacy Group, Inc.
• Donald Feldman, D.P.M.

• Internal Medicine Physician in Peekskill, NY
• Providers in Peekskill, 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 Jul 23, 2024; 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.