Pulmonary Disease Group of Westchester PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

173247 Issued in NY

Legal business name

PULMONARY DISEASE GROUP OF WESTCHESTER PLLC

Practice address

970 North Broadway
Suite 209
Yonkers, NY 10701-1311

Phone

(914) 965-3366

Fax

(914) 965-1310

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Enrico Dematteo, MDNPI 1083610125

Title

Sole Member

Phone

(914) 965-3366

Specialties & licenses 9

Addresses

Other names 1

• Robert E. DeMatteo MBR Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Robert Enrico Dematteo, MD

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1083610125
  Medicare reassignment Care Compare group Authorized official
• Joseph Brill, M.D.

  • Pulmonary Disease Physician
  • Yonkers, NY
  • NPI 1811933088
  Medicare reassignment Care Compare group NPD
• Rajendra M Rampersaud, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Yonkers, NY
  • NPI 1003906801
  Medicare reassignment Care Compare group NPD
• Richard Bing Wu, MD

  • Pulmonary Disease Physician
  • Yonkers, NY
  • NPI 1518256510

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1720305071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NORTH BROADWAY",
            "address_2": "SUITE 209",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-965-3366",
            "fax_number": "914-965-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NORTH BROADWAY",
            "address_2": "SUITE 209",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-965-3366",
            "fax_number": "914-965-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY DISEASE GROUP OF WESTCHESTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "DEMATTEO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ENRICO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "914-965-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "260823",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "234613",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "260823",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "120565",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "173247",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "156006",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "234613",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "120565",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "234613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. DeMatteo MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Georgina M Puente, R.N.
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• Afsana Qader, DPM
• Ahsaan Qadir, PHARMD
• Zhuo Qian, DO

• Pulmonary Disease Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.