Westside New York Medical, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

WESTSIDE NEW YORK MEDICAL, PC

Practice address

105 Stevens Ave
Suite 209
Mount Vernon, NY 10550-2686

Phone

(914) 699-7700

Fax

(914) 699-7701

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Nonyelu Iruoma Anyichie, MD

Title

Owner / MD

Phone

(914) 699-7700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1750766762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WOODLAND RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701322",
            "telephone_number": "914-699-7700",
            "fax_number": "914-699-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 209",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-699-7700",
            "fax_number": "914-699-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEW YORK MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "ANYICHIE",
        "authorized_official_first_name": "NONYELU",
        "authorized_official_middle_name": "IRUOMA",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "914-699-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.