Individual provider Active NPI

Erin Underhill, PA

  • Physician Assistant
  • Dobbs Ferry, NY
National Provider Identifier
1841629318
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017104 Issued in NY
Practice address
128 Ashford Ave FL 2
Dobbs Ferry, NY 10522-1924
Phone
(914) 693-6500
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017104 NY Primary

Addresses

Primary practice location

128 Ashford Ave FL 2
Dobbs Ferry, NY 10522-1924

Mailing address

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4444

Other practice location 1

73 Market St
Yonkers, NY 10710-7616
Phone (914) 831-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140129001192 NY Practitioner - Physician Assistant 2163651894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians

Practice addresses (Care Compare)

1088 N Broadway
Yonkers, NY 10701-1107
Phone (914) 966-9296

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4444

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
017104NYMDSpeech-Language Pathologist

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: elipp@hiemail.healtheconnections.org
  • Direct secure messaging: eunderhill@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1841629318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4444",
            "fax_number": "914-966-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE FL 2",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221924",
            "telephone_number": "914-693-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Market St",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107107616",
            "country_code": "US",
            "telephone_number": "914-831-4160",
            "fax_number": "914-831-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "ERIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.