Organization Active NPI

Digestive Disease Nutrition Consultants of Westchester, LLP

  • Specialist
  • White Plains, NY
National Provider Identifier
1942301205
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138599 Issued in NY
Legal business name
DIGESTIVE DISEASE NUTRITION CONSULTANTS OF WESTCHESTER, LLP
Practice address
2 Westchester Park Drive.
Suite L1
White Plains, NY 10604
Phone
(914) 683-1555
Fax
(914) 683-1026
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Jack Rosemarin, M.D.
Title
Owner
Phone
(914) 683-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 138599 NY Primary

Addresses

Primary practice location

2 Westchester Park Drive.
Suite L1
White Plains, NY 10604

Mailing address

2 Westchester Park Drive.
Suite L1
White Plains, NY 10604
Phone (914) 683-1555

Other identifiers 6

IdentifierTypeStateIssuer
810AY1OtherNYBLUE CROSS BLUE SHIELD
421AQ1OtherNYBLUE CROSS BLUE SHIELD
01365764MedicaidNY
4V9951OtherNYBLUE CROSS BLUE SHIELD
421AP1OtherNYBLUE CROSS BLUE SHIELD
3V8062OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2 Westchester Park Dr
Ste L-1
White Plains, NY 10604
Phone (914) 683-1555

222 Westchester Ave
Lbby 3
White Plains, NY 10604
Phone (914) 683-1555

Practitioners & affiliated clinicians

Practitioners 6

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1942301205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTCHESTER PARK DRIVE.",
            "address_2": "SUITE L1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-683-1555",
            "fax_number": "914-683-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTCHESTER PARK DRIVE.",
            "address_2": "SUITE L1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-683-1555",
            "fax_number": "914-683-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE NUTRITION CONSULTANTS OF WESTCHESTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "ROSEMARIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-683-1555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "138599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "810AY1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "421AQ1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365764",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4V9951",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "421AP1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3V8062",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.