Active NPI
Nymc - School of Medicine Faculty Practice Corporation
- Family Medicine Physician
- Hawthorne, NY
National Provider Identifier
1689239105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NYMC - SCHOOL OF MEDICINE FACULTY PRACTICE CORPORATION
- Practice address
- 19 Skyline Dr
Hawthorne, NY 10532-2134 - Phone
- (914) 828-0435
- Fax
- (914) 594-2261
- NPI assigned
- May 9, 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
- Edward Halperin, MD, MA
- Title
- Chancellor/Ceo
- Phone
- (914) 594-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
19 Skyline Dr
Hawthorne, NY 10532-2134
Mailing address
40 Sunshine Cottage Rd
Valhalla, NY 10595-1524
Phone (914) 594-2260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2170942 | Nymc School of Medicine Faculty Practice | Provider-performed microscopy | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hawthorne, NY
- NPI 1336501329
-
- Family Medicine Physician
- Scarsdale, NY
- NPI 1982679353
-
- Radiation Oncology Physician
- Valhalla, NY
- NPI 1821184268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1689239105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SUNSHINE COTTAGE RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951524",
"telephone_number": "914-594-2260",
"fax_number": "914-594-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SKYLINE DR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322134",
"telephone_number": "914-828-0435",
"fax_number": "914-594-2261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYMC - SCHOOL OF MEDICINE FACULTY PRACTICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "HALPERIN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CHANCELLOR/CEO",
"authorized_official_telephone_number": "914-594-4900",
"authorized_official_credential": "MD, MA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.