Organization Active NPI

S&K Medical Associates PC

  • Internal Medicine Physician
  • New City, NY
National Provider Identifier
1831309095
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
S&K MEDICAL ASSOCIATES PC
Practice address
17 Squadron Blvd
New City, NY 10956-5214
Phone
(845) 634-6500
Fax
(845) 634-9424
NPI assigned
May 23, 2007
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Marie Farrell, RN CCSP
Title
Director Coding
Phone
(845) 634-6500

Specialties & licenses 1

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

Addresses

Primary practice location

17 Squadron Blvd
New City, NY 10956-5214

Mailing address

345 N Main St
New City, NY 10956-4305
Phone (845) 634-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090521000141 NY Part B Supplier - Clinic/Group Practice 9931258977 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

500 New Hempstead Rd
Ste F
New City, NY 10956
Phone (845) 639-3123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1831309095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564305",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SQUADRON BLVD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565214",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&K MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR CODING",
        "authorized_official_telephone_number": "845-634-6500",
        "authorized_official_credential": "RN CCSP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.