Active NPI
Bedford Road Medical P.C.
- Psychiatry Physician
- Mount Kisco, NY
National Provider Identifier
1801623475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.