Organization Active NPI

Nymc - School of Medicine Faculty Practice Corporation

  • Family Medicine Physician
  • Hawthorne, NY
National Provider Identifier
1689239105
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Edward Halperin, MD, MANPI 1821184268
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210914002430 NY Part B Supplier - Clinic/Group Practice 9931505138 Receives reassigned benefits from 3 practitioners
Practice locations: Hawthorne, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2170942Nymc School of Medicine Faculty Practice19 Skyline Dr, Hawthorne, NY 10532Provider-performed microscopyMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.