NPIMap

Organization Active NPI

Phelps Memorial Hospital Association

  • General Acute Care Hospital
  • Sleepy Hollow, NY
National Provider Identifier
1720185267
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Practice address
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone
(914) 366-3000
Fax
(914) 366-1522
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Mrs. Michele Lee Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X
Psychiatric Hospital Unit 273R00000X
Rehabilitation Hospital Unit 273Y00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

701 N Broadway
Sleepy Hollow, NY 10591-1020

Mailing address

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Other identifiers 1

IdentifierTypeStateIssuer
00274162MedicaidNY

Other names 1

  • Phelps Hospital Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address pmhc@pmhc-direct.us Health Information Exchange (HIE)
FHIR URL https://mtrestapis-live-pmhc.ps-msite.com Health Information Exchange (HIE)
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000490 NY Part B Supplier - Clinic/Group Practice 1658283981 Receives reassigned benefits from 65 practitioners
6 other NPIs on this enrollment
Practice locations: Croton on Hudson, NY; Sleepy Hollow, NY; Ossining, NY
O20081015000599 NY Part A Provider - Hospital 1658283981 Practice locations: Dobbs Ferry, NY; Sleepy Hollow, NY; Ossining, NY; Croton on Hudson, NY; Briarcliff, NY

Hospital certification: CCN 330261

Legal name
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Doing business as
PHELPS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 5, 2025
Beds
235
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 4, 1954 in NY
Enrollment address
701 N Broadway
Sleepy Hollow, NY 10591-1020
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Phelps HospitalCCN 330261
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

310 N Highland Ave
Ste 4
Ossining, NY 10562
Phone (914) 468-2590

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William L Mack Individual Corporate OfficerVice Chairman Jan 1, 2020
Margaret M Crotty Individual Corporate OfficerChair-Elect Jan 1, 2021
Northwell, Inc. Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Harry E Gindi Individual Corporate OfficerAssistant Secretary Jan 1, 2020
Richard T Miller Individual Corporate OfficerEvp & Chief Bus Strategy Officer Jan 1, 2020
Jeffrey a Kraut Individual Corporate OfficerEvp Strategy and Analytics Jan 1, 2020
Robert D Rosenthal Individual Corporate OfficerTreasurer Jan 1, 2020
Mark L Claster Individual Corporate OfficerImmediate Past Chairman Jan 1, 2021
Mark J Solazzo Individual Corporate OfficerEvp and Coo Jan 1, 2020
Richard D Goldstein Individual Corporate OfficerVice Chairman Jan 1, 2021
Northwell Healthcare Inc Organization, Westbury, NY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Operational/Managerial Control Jan 1, 2015 100%
David L Battinelli Individual Corporate OfficerEvp Physician-in-Chief Jan 1, 2020
Kathleen Gallo Individual Corporate OfficerEvp and Chief Learning Officer Jan 1, 2020
Donald Zucker Individual Corporate OfficerSecretary Jan 1, 2020
Barry Rubenstein Individual Corporate OfficerVice Chairman Jan 1, 2020
Northwell Health Inc Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Michael a Epstein Individual Corporate OfficerChair, Board of Trustees Jan 1, 2021
Mark a. Gloade Individual Corporate OfficerSVP & Deputy General Counsel Jan 1, 2020
Eugene S Tangney Individual Corporate OfficerSVP Chief Bus Continuity & Crisis Jan 1, 2020
Donna K Drummond Individual Corporate OfficerSVP & Chief Expense Officer Jan 1, 2020
Joseph S Moscola Individual Corporate OfficerEvp Enterprise Management Jan 1, 2020
Michael J Dowling Individual Corporate Officer Jan 1, 2015
Laurence a Kraemer Individual Corporate OfficerSVP & Chief General Counsel Jan 1, 2020
Konstantine Costalas Individual Corporate OfficerSVP Managed Care Jan 1, 2020
Ralph a Nappi Individual Corporate OfficerExecutive Vice Chairman Jan 1, 2021
Michele L Cusack Individual Corporate OfficerSenior Vice President & Cfo Sep 12, 2017
W-2 Managing EmployeeSenior Vice President & Cfo Sep 12, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 137

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

View all 137

Affiliated clinicians 724

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 724

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1720185267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3000",
            "fax_number": "914-366-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3000",
            "fax_number": "914-366-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274162",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmhc@pmhc-direct.us",
            "affiliation": "N",
            "endpointDescription": "Phelps Memorial Hospital Medallies direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "701 N Broadway",
            "city": "Sleepy Hollow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105911020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://mtrestapis-live-pmhc.ps-msite.com",
            "affiliation": "N",
            "endpointDescription": "Phelps Memorial Hospital FHIR API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "701 N Broadway",
            "city": "Sleepy Hollow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105911020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phelps Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.