Individual provider Active NPI

Carol P Taylor, M.D.

  • Family Medicine Physician
  • Warwick, NY
National Provider Identifier
1699776294
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226652 Issued in NY
Practice address
21 Maple Ave
Warwick, NY 10990-1026
Phone
(845) 986-3311
Fax
(845) 987-2484
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226652 NY Primary

Addresses

Primary practice location

21 Maple Ave
Warwick, NY 10990-1026

Mailing address

2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400

Other identifiers 1

IdentifierTypeStateIssuer
A400062098OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000989 NY Practitioner - Family PracticePractitioner - General Surgery 8921032996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

1460 State Route 17M
Chester, NY 10918-1054
Phone (845) 651-1400

21 Edward J Lempka Dr
Family Practice
Florida, NY 10921-0001
Phone (845) 651-1777

21 Maple Ave
Warwick, NY 10990-1026
Phone (845) 986-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226652NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Jan 23, 2012 Accepting new patients
Horizon Medical Group, P.C. Family Medicine CurrentSince Jan 23, 2012 Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients

Locations

1460 State Route 17M
Ste A
Chester, NY 10918
Phone (845) 469-4211

1460 State Route 17M
#B
Chester, NY 10918
Phone (845) 469-2832

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400

21 Maple Ave
Warwick, NY 10990
Phone (845) 986-3311

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: carol.taylor@hfmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1699776294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901026",
            "telephone_number": "845-986-3311",
            "fax_number": "845-987-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400062098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.