Organization Active NPI

Mount Pleasant Medical Group, LLP

  • Internal Medicine Physician
  • Valhalla, NY
National Provider Identifier
1891803953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOUNT PLEASANT MEDICAL GROUP, LLP
Practice address
401 Columbus Ave
Valhalla, NY 10595-1325
Phone
(914) 769-0268
Fax
(914) 769-6303
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doris G Masback
Title
Practice Manager
Phone
(914) 769-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

401 Columbus Ave
Valhalla, NY 10595-1325

Mailing address

401 Columbus Ave
Valhalla, NY 10595-1325
Phone (914) 769-0268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891803953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COLUMBUS AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951325",
            "telephone_number": "914-769-0268",
            "fax_number": "914-769-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBUS AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951325",
            "telephone_number": "914-769-0268",
            "fax_number": "914-769-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT MEDICAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASBACK",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "914-769-0268"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.