Organization Active NPI

Janis a Pastena MD PC

  • Surgery Physician
  • Valhalla, NY
National Provider Identifier
1922269158
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
146287 Issued in NY
Legal business name
JANIS A PASTENA MD PC
Practice address
100 Woods Road
Nymc Dept of Surgery Munger Pavilion
Valhalla, NY 10595-1646
Phone
(914) 594-3742
Fax
(914) 594-4359
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Janis A Pastena, MD
Title
Owner
Phone
(914) 594-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 146287 NY Primary

Addresses

Primary practice location

100 Woods Road
Nymc Dept of Surgery Munger Pavilion
Valhalla, NY 10595-1646

Mailing address

100 Woods Road
Nymc Dept of Surgery Munger Pavilion
Valhalla, NY 10595-1646
Phone (914) 594-3742

Other identifiers 1

IdentifierTypeStateIssuer
01223752MedicaidNY

National Provider Directory

National Provider Directory

Locations

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1922269158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS ROAD",
            "address_2": "NYMC DEPT OF SURGERY MUNGER PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951646",
            "telephone_number": "914-594-3742",
            "fax_number": "914-594-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS ROAD",
            "address_2": "NYMC DEPT OF SURGERY MUNGER PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951646",
            "telephone_number": "914-594-3742",
            "fax_number": "914-594-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIS A PASTENA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "PASTENA",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-594-3742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "146287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223752",
            "state": "NY"
        }
    ],
    "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 Nov 24, 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.