St. John'S Riverside Hospital-Eeg

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. JOHN'S RIVERSIDE HOSPITAL-EEG

Practice address

967 N Broadway
Yonkers, NY 10701-1301

Phone

(914) 966-9787

Fax

(914) 966-9793

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Silvia Ugalde

Title

Assistant Vice President

Phone

(914) 966-9787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St. John'S Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695

  O20040719001272

  Same enrollment
• St. John'S Riverside Hospital-Cardiology

  • Cardiovascular Disease Physician
  • Yonkers, NY
  • NPI 1144262924

  O20040719001272

  Same enrollment
• St. John'S Riverside Hospital-ER

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1184667974

  O20040719001272

  Same enrollment
• St. John'S Riverside Hospital-HS

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1235171018

  O20040719001272

  Same enrollment
• St. John'S Riverside Hospital-Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Yonkers, NY
  • NPI 1295765840

  O20040719001272

  Same enrollment
• St. Johns Riverside Hospital-Pulmonary

  • Pulmonary Disease Physician
  • Yonkers, NY
  • NPI 1104856756

  O20040719001272

  Same enrollment

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1790728053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "address_2": "ATTN: RIVERSIDE MANAGEMENT SERVICES ORG",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107030998",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S RIVERSIDE HOSPITAL-EEG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "UGALDE",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT",
        "authorized_official_telephone_number": "914-966-9787"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Josephs Hospital Yonkers
• St. John'S Radiological Associates, LLP
• St. John'S Riverside Hospital
• St. John'S Riverside Hospital
• St. John'S Riverside Hospital-Cardiology
• St. John'S Riverside Hospital-ER
• St. John'S Riverside Hospital-HS
• St. John'S Riverside Hospital-Pathology
• St. Johns Riverside Hospital-Pulmonary
• St. Joseph'S Hospital & Medical Center

• All providers in Yonkers, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.