Individual provider Active NPI

Roy Abraham Hillman, M.D.

  • Specialist
  • Tarrytown, NY
National Provider Identifier
1942224910
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
189195-1 Issued in NY
Practice address
200 S Broadway Ste 106
Tarrytown, NY 10591-4504
Phone
(914) 366-6821
Fax
(914) 366-0641
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 189195-1 NY Primary

Addresses

Primary practice location

200 S Broadway Ste 106
Tarrytown, NY 10591-4504

Mailing address

200 S Broadway Ste 106
Tarrytown, NY 10591-4504
Phone (914) 366-6821

Other identifiers 1

IdentifierTypeStateIssuer
01523073MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000236 NY Practitioner - Internal Medicine 8729175575 Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
189195-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
LMC Physician Services, PC Past Accepting new patients
Pharney Group LLC. Past Accepting new patients
Cabrini of Westchester Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pharney Group LLC.Tarrytown, NY, CCN 335421 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2015
Apr 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1942224910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 106",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914504",
            "telephone_number": "914-366-6821",
            "fax_number": "914-366-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY STE 106",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914504",
            "telephone_number": "914-366-6821",
            "fax_number": "914-366-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "ROY",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "189195-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.