Organization Active NPI

Airmont Physician Services PLLC

  • Primary Care Clinic/Center
  • Airmont, NY
National Provider Identifier
1760976559
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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)CodeLicenseStatePrimary
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2150095Airmont Physician Services PLLC5 N Airmont Rd - Suite 4, Airmont, NY 10901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.