NPIMap

Organization Active NPI

Nymc Phelps Family Medicine Residency Program

  • Student in an Organized Health Care Education/Training Program
  • Sleepy Hollow, NY
National Provider Identifier
1730524042
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
NYMC PHELPS FAMILY MEDICINE RESIDENCY PROGRAM
Practice address
701 N Broadway
Nymc Phelps Family Medicine Residency Program
Sleepy Hollow, NY 10591-1020
Phone
(914) 366-5359
Fax
(914) 366-1578
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Jessica Anne Zaks, M.D.
Title
Physician
Phone
(508) 823-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

701 N Broadway
Nymc Phelps Family Medicine Residency Program
Sleepy Hollow, NY 10591-1020

Mailing address

701 N Broadway
Nymc Phelps Family Medicine Residency Program
Sleepy Hollow, NY 10591-1020
Phone (914) 366-5359

National Provider Directory

National Provider Directory
Tax ID family
Phelps Mem Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1730524042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "address_2": "NYMC PHELPS FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-5359",
            "fax_number": "914-366-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "address_2": "NYMC PHELPS FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-5359",
            "fax_number": "914-366-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYMC PHELPS FAMILY MEDICINE RESIDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ZAKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-823-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.