Active NPI
Airmont Physician Services PLLC
- Primary Care Clinic/Center
- Airmont, NY
National Provider Identifier
1760976559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- AIRMONT PHYSICIAN SERVICES PLLC
- Practice address
- 5 N Airmont Rd
Airmont, NY 10901-5101 - Phone
- (845) 547-0300
- Fax
- (845) 547-0301
- NPI assigned
- Jun 15, 2018
- Last updated
- Oct 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajesh Gupta, MD
- Title
- Medical Director
- Phone
- (845) 547-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5 N Airmont Rd
Airmont, NY 10901-5101
Mailing address
5 N Airmont Rd
Airmont, NY 10901-5101
Phone (845) 547-0300
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2150095 | Airmont Physician Services PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
5546 Broadway
Bronx, NY 10463
Phone (917) 383-2164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539820800000",
"number": "1760976559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 N AIRMONT RD",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109015101",
"telephone_number": "845-547-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N AIRMONT RD",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109015101",
"telephone_number": "845-547-0300",
"fax_number": "845-547-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIRMONT PHYSICIAN SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-15",
"last_updated": "2018-10-18",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "RAJESH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "845-547-0300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.