Organization Active NPI

5 Pillars Billing, LLC

  • Surgery Physician
  • Putnam Valley, NY
National Provider Identifier
1922534254
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
5 PILLARS BILLING, LLC
Practice address
11 Peekskill Hollow Rd
# 112
Putnam Valley, NY 10579-3200
Phone
(845) 526-2080
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Carlos Jativa
Title
Cfo
Phone
(845) 526-2080

Specialties & licenses 1

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

Addresses

Primary practice location

11 Peekskill Hollow Rd
# 112
Putnam Valley, NY 10579-3200

Mailing address

11 Peekskill Hollow Rd
# 112
Putnam Valley, NY 10579-3200
Phone (845) 526-2080

National Provider Directory

National Provider Directory

Locations

11 Peekskill Hollow Rd
#112
Putnam Valley, NY 10579
Phone (845) 526-2080

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1922534254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "address_2": "# 112",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-526-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEEKSKILL HOLLOW RD",
            "address_2": "# 112",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793200",
            "telephone_number": "845-526-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 PILLARS BILLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "JATIVA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-526-2080"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.