Organization Active NPI

Redcross Concierge,LLC

  • Primary Care Clinic/Center
  • Eastchester, NY
National Provider Identifier
1902206766
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
219349 Issued in NY
Legal business name
REDCROSS CONCIERGE,LLC
Practice address
475 White Plains Rd
Suite 14
Eastchester, NY 10709-5537
Phone
(914) 919-9200
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Kenneth Redcross
Title
Physician/Owner
Phone
(818) 633-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 219349 NY Primary

Addresses

Primary practice location

475 White Plains Rd
Suite 14
Eastchester, NY 10709-5537

Mailing address

189 Storer Ave
New Rochelle, NY 10801-3133

National Provider Directory

National Provider Directory

Locations

475 White Plains Rd
Ste 14
Eastchester, NY 10709
Phone (914) 337-4445

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1902206766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 STORER AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD",
            "address_2": "SUITE 14",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "914-919-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCROSS CONCIERGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "REDCROSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "818-633-1556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "219349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.