Organization Active NPI

Michael E Ford M D PLLC

Doing business as Rivertowns Medicine Concierge Primary Care & Consultation Michael E Fo

  • Internal Medicine Physician
  • Tarrytown, NY
National Provider Identifier
1780396515
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL E FORD M D PLLC
Doing business as
Rivertowns Medicine Concierge Primary Care & Consultation Michael E Fo
Practice address
200 White Plains Rd Ste 210
Tarrytown, NY 10591-5838
Phone
(914) 372-6788
Fax
(914) 639-9272
NPI assigned
Dec 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Michael E Ford, MDNPI 1760659007
Title
MD/Owner
Phone
(347) 306-1073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

200 White Plains Rd Ste 210
Tarrytown, NY 10591-5838

Mailing address

200 White Plains Rd Ste 210
Tarrytown, NY 10591-5838
Phone (914) 639-9271

Other names 1

  • Rivertowns Medicine Concierge Primary Care & Consultation Michael E Fo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118001387 NY Part B Supplier - Clinic/Group Practice 4688045271 Receives reassigned benefits from 1 practitioner
Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory

Locations

220 White Plains Rd
Ste 590
Tarrytown, NY 10591
Phone (914) 372-6788

200 White Plains Rd
Ste 210
Tarrytown, NY 10591
Phone (914) 372-6788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1780396515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE PLAINS RD STE 210",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915838",
            "telephone_number": "914-639-9271",
            "fax_number": "914-639-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE PLAINS RD STE 210",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915838",
            "telephone_number": "914-372-6788",
            "fax_number": "914-639-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E FORD M D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "347-306-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertowns Medicine Concierge Primary Care & Consultation Michael E Fo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rivertowns Medicine Concierge Primary Care & Consultation Michael E Fo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.