Primecare Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204658 Issued in NY

Legal business name

PRIMECARE FAMILY MEDICINE

Practice address

20 Beacon Hill Dr Ste 2B
Dobbs Ferry, NY 10522-2402

Phone

(914) 591-6888

Fax

(914) 591-7938

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothea Kelligrew

Title

Medical Billing Manager

Phone

(914) 631-3640

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fion Chan, CNM

  • Midwife
  • Brooklyn, NY
  • NPI 1043208705
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790790574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEACON HILL DR STE 2B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222402",
            "telephone_number": "914-591-6888",
            "fax_number": "914-591-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEACON HILL DR STE 2B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222402",
            "telephone_number": "914-591-6888",
            "fax_number": "914-591-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLIGREW",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "914-631-3640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P620018",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "66760",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OD1520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lynn Picard, DNP
• Alexandra Pierre-Philippe, LMSW
• Daniel Jaime Pilowsky, M.D.
• Lorna Ponnaiya, CRNA
• Michel'Le N Pratt
• Aaron Luis Profumo
• Prohealth Care Associates, LLP
• Melissa Puterio
• Quad Village Physical Therapy P.C.
• Rashemah Quinn

• Family Medicine Physician in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.