Active NPI
Bradford C Schiller, MD
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1902870355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 201295
- Practice address
- 1915 Central Park Ave # 25
Yonkers, NY 10710-2949 - Phone
- (914) 961-3437
- Fax
- (914) 961-3589
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 201295 | NY | Primary |
Addresses
Primary practice location
1915 Central Park Ave # 25
Yonkers, NY 10710-2949
Mailing address
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 681-3146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01888682 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201295 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Medical Associates PLLC. | Internal Medicine | Current | Accepting new patients |
| Docs Physicians Affiliated With Bimc | Internal Medicine | Past | Accepting new patients |
Locations
2 Executive Blvd
Ste 406
Suffern, NY 10901
Phone (845) 357-9002
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Suffern, NY
- NPI 1629002530
-
- General Practice Physician
- New York, NY
- NPI 1821016692
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1902870355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3146",
"fax_number": "914-682-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 CENTRAL PARK AVE # 25",
"city": "YONKERS",
"state": "NY",
"postal_code": "107102949",
"telephone_number": "914-961-3437",
"fax_number": "914-961-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "BRADFORD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "201295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01888682",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.