Individual provider Active NPI

Emma Medina, MD

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1710061973
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
143497 Issued in NY
Practice address
140 Lockwood Ave Ste 310
New Rochelle, NY 10801-4909
Phone
(914) 632-1600
Fax
(914) 576-4770
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 143497 NY Primary

Addresses

Primary practice location

140 Lockwood Ave Ste 310
New Rochelle, NY 10801-4909

Mailing address

140 Lockwood Ave Ste 310
New Rochelle, NY 10801-4909
Phone (914) 632-1600

Other identifiers 6

IdentifierTypeStateIssuer
0367045OtherCIGNA
0046926OtherAETNA
0066930OtherNYGHI
00863727MedicaidNY
WS902OtherNYOXFORD
2C4799OtherNYHEALTHNET

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
I20100318000004 NY Practitioner - Cardiovascular Disease (Cardiology) 3274668017 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Sep 5, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Sep 5, 2017 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Westchester Heart Specialists LLP Cardiovascular Disease Past Accepting new patients
New Rochelle Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates of Westchester Cardiovascular Disease Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

140 Lockwood Ave
Ste 310
New Rochelle, NY 10801
Phone (914) 576-7171

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

150 Lockwood Ave
Ste 28
New Rochelle, NY 10801
Phone (914) 633-3914

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1710061973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE STE 310",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014909",
            "telephone_number": "914-632-1600",
            "fax_number": "914-576-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE STE 310",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014909",
            "telephone_number": "914-632-1600",
            "fax_number": "914-576-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "EMMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "143497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0367045",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0046926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0066930",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00863727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C4799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.