Organization Active NPI

Peter M. Gottesfeld, MD PC

  • Family Medicine Physician
  • Mount Kisco, NY
National Provider Identifier
1710008438
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
175170 Issued in NY
Legal business name
PETER M. GOTTESFELD, MD PC
Practice address
101 S Bedford Rd
Suite 412
Mount Kisco, NY 10549-3439
Phone
(914) 241-7800
Fax
(914) 242-0224
NPI assigned
Apr 2, 2007
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Peter M Gottesfeld, MDNPI 1114011368
Title
President
Phone
(914) 241-7800

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 Physician 207Q00000X 175170 NY Primary

Addresses

Primary practice location

101 S Bedford Rd
Suite 412
Mount Kisco, NY 10549-3439

Mailing address

101 S Bedford Rd
Suite 412
Mount Kisco, NY 10549-3439
Phone (914) 241-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000238 NY Part B Supplier - Clinic/Group Practice 2668561515 Receives reassigned benefits from 1 practitioner
Practice locations: Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

101 S Bedford Rd
Ste 412
Mount Kisco, NY 10549
Phone (914) 241-7800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1710008438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD",
            "address_2": "SUITE 412",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493439",
            "telephone_number": "914-241-7800",
            "fax_number": "914-242-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD",
            "address_2": "SUITE 412",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493439",
            "telephone_number": "914-241-7800",
            "fax_number": "914-242-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. GOTTESFELD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GOTTESFELD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-241-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.