Delta Medical Services P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

237437 Issued in NY

Legal business name

DELTA MEDICAL SERVICES P.C

Practice address

475 White Plains Rd
Suite 18
Eastchester, NY 10709-5537

Phone

(914) 633-8400

NPI assigned

Mar 28, 2007

Last updated

Mar 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Funsho Busari-Alabi, MD

Title

President

Phone

(914) 633-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1932228475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD",
            "address_2": "SUITE 18",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "914-633-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD",
            "address_2": "SUITE 18",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "914-633-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "BUSARI-ALABI",
        "authorized_official_first_name": "FUNSHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-633-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "237437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Costello, LCSW
• Alexandra C Courtien
• CVS Albany LLC (CVS Pharmacy #02432)
• Tara Daly, MA CCC-SLP TSSLD
• Staci F Davis, LMSW
• Ruth E Derosa, LCMS
• Kimberly Dimarino
• Stefanie Dorman, PSYD
• Dr Mack Sullivan Telemedicine 1101 PC
• Dr. Angela Reiter, PSYD, PC (Dr. Angela Reiter & Associates)

• Primary Care Clinic/Center in Eastchester, NY
• Providers in Eastchester, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.