Organization Active NPI

East Hudson Urology Group PC

  • Urology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1932379161
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EAST HUDSON UROLOGY GROUP PC
Practice address
1985 Crompond Road
BLDG D
Cortlandt Manor, NY 10567
Phone
(914) 739-1219
Fax
(914) 739-2353
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Bernard H Fagin, MD
Title
Chief Financial Officer
Phone
(914) 739-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X NY Primary

Addresses

Primary practice location

1985 Crompond Road
BLDG D
Cortlandt Manor, NY 10567

Mailing address

1985 Crompond Road
BLDG D
Cortlandt Manor, NY 10567
Phone (914) 739-1219

National Provider Directory

National Provider Directory

Locations

664 Stoneleigh Ave
Ste 301
Carmel, NY 10512
Phone (845) 279-6666

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1932379161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND ROAD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-1219",
            "fax_number": "914-739-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND ROAD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-1219",
            "fax_number": "914-739-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HUDSON UROLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "FAGIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "914-739-1219",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.