Active NPI
Emma Medina, MD
- Cardiovascular Disease Physician
- New Rochelle, NY
National Provider Identifier
1710061973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 143497
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0367045 | Other | CIGNA | |
| 0046926 | Other | AETNA | |
| 0066930 | Other | NY | GHI |
| 00863727 | Medicaid | NY | |
| WS902 | Other | NY | OXFORD |
| 2C4799 | Other | NY | HEALTHNET |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Montefiore Medical Center | Current | 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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Cardiovascular Disease Physician
- New Rochelle, NY
- NPI 1952464042
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- Cardiovascular Disease Physician
- New Rochelle, NY
- NPI 1043387079
-
- Cardiovascular Disease Physician
- New Rochelle, NY
- NPI 1811068257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.