Medassist VA, Corp

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MEDASSIST VA, CORP

Practice address

747 Chestnut Ridge Rd Ste 206
Spring Valley, NY 10977-6225

Phone

(845) 377-6670

Fax

(845) 445-6675

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Chava Ellinson

Title

Ceo

Phone

(845) 377-6670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1720767239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CHESTNUT RIDGE RD STE 206",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776225",
            "telephone_number": "845-377-6670",
            "fax_number": "845-445-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 CHESTNUT RIDGE RD STE 206",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776225",
            "telephone_number": "845-377-6670",
            "fax_number": "845-445-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDASSIST VA, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "ELLINSON",
        "authorized_official_first_name": "CHAVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-377-6670"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Spring Valley, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.