Mid-Hudson Comprehensive Medical, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

144222 Issued in NY

Legal business name

MID-HUDSON COMPREHENSIVE MEDICAL, PC

Practice address

741 East 233Rd Street
Bronx, NY 10466

Phone

(718) 405-0203

Fax

(718) 405-1628

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Sujata Vidyasagar, MD.

Title

Owner/MD.

Phone

(718) 405-0205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1932129459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 EAST 233RD STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-405-0203",
            "fax_number": "718-405-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-HUDSON COMPREHENSIVE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "VIDYASAGAR",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_title_or_position": "OWNER/MD.",
        "authorized_official_telephone_number": "718-405-0205",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "144222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.