NPIMap

Organization Active NPI

Eriver Neurology of New York. LLC

  • Neurology Physician
  • Fishkill, NY
National Provider Identifier
1811064520
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ERIVER NEUROLOGY OF NEW YORK. LLC
Practice address
200 Westage Business Ctr Dr Ste 324
Fishkill, NY 12524-2265
Phone
(845) 452-9750
Fax
(845) 452-9751
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mrs. Kathy Ryan
Title
Office Manager
Phone
(845) 452-9750

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 324
Fishkill, NY 12524-2265

Mailing address

200 Westage Business Ctr Dr Ste 324
Fishkill, NY 12524-2265
Phone (845) 452-9750

Other identifiers 1

IdentifierTypeStateIssuer
02724909MedicaidNY

Other names 1

  • eRiver Neurology of NY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000175 NY Part B Supplier - Clinic/Group Practice 5193759033 Receives reassigned benefits from 5 practitioners
Practice locations: Fishkill, NY; Rhinebeck, NY; Poughkeepsie, NY; Monticello, NY; Kingston, NY; Hudson, NY; Carmel, NY

National Provider Directory

National Provider Directory

Locations

664 Stoneleigh Ave
Ste 204
Carmel, NY 10512
Phone (845) 278-6777

200 Westage Business Ctr Dr
Ste 324
Fishkill, NY 12524
Phone (845) 896-0611

71 Prospect Ave
Ste 160
Hudson, NY 12534
Phone (732) 887-3243

21 Fox St
Poughkeepsie, NY 12601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1811064520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 324",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242265",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 324",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242265",
            "telephone_number": "845-452-9750",
            "fax_number": "845-452-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIVER NEUROLOGY OF NEW YORK. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-452-9750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02724909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eRiver Neurology of NY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "eRiver Neurology of NY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.