Organization Active NPI

Manor Medical Office, P.C.

  • Internal Medicine Physician
  • Pelham, NY
National Provider Identifier
1790984946
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANOR MEDICAL OFFICE, P.C.
Practice address
4662 Boston Post Rd
Pelham, NY 10803-3055
Phone
(914) 738-7100
Fax
(914) 738-9249
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Erika Krauss, M.D.
Title
Owner
Phone
(914) 738-7100

Specialties & licenses 1

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

Addresses

Primary practice location

4662 Boston Post Rd
Pelham, NY 10803-3055

Mailing address

4662 Boston Post Rd
Pelham, NY 10803-3055
Phone (914) 738-7100

National Provider Directory

National Provider Directory

Locations

4662 Boston Post Rd
Pelham, NY 10803
Phone (914) 738-3100

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1790984946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4662 BOSTON POST RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033055",
            "telephone_number": "914-738-7100",
            "fax_number": "914-738-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4662 BOSTON POST RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033055",
            "telephone_number": "914-738-7100",
            "fax_number": "914-738-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "KRAUSS",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-738-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.