Organization Active NPI

Bedford Road Medical P.C.

  • Psychiatry Physician
  • Mount Kisco, NY
National Provider Identifier
1801623475
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEDFORD ROAD MEDICAL P.C.
Practice address
83 S Bedford Rd Ste 201
Mount Kisco, NY 10549-3458
Phone
(888) 535-3676
NPI assigned
Sep 17, 2024
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Minna Chan
Title
VP Operations
Phone
(888) 535-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

83 S Bedford Rd Ste 201
Mount Kisco, NY 10549-3458

Mailing address

418 Broadway Ste 5249
Albany, NY 12207-2922

Other names 1

  • DORO MEDICAL P.C. Other name

National Provider Directory

National Provider Directory

Locations

418 Broadway
Ste 5249
Albany, NY 12207

83 S Bedford Rd
Ste 201
Mount Kisco, NY 10549
Phone (888) 535-3676

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1801623475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE 5249",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S BEDFORD RD STE 201",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493458",
            "telephone_number": "888-535-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD ROAD MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MINNA",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "888-535-3676"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DORO MEDICAL P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.