Organization Active NPI

Westchester Allergy, Asthma and Immunology, P.C.

  • Allergy Physician
  • Yonkers, NY
National Provider Identifier
1942323837
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
232091 Issued in NY
Legal business name
WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.
Practice address
2150 Central Park Ave
Suite 205
Yonkers, NY 10710-1853
Phone
(914) 337-2727
NPI assigned
Apr 8, 2007
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. Mary E. Fedor, MDNPI 1730110388
Title
Physician
Phone
(914) 337-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 232091 NY Primary

Addresses

Primary practice location

2150 Central Park Ave
Suite 205
Yonkers, NY 10710-1853

Mailing address

2150 Central Park Ave
Suite 205
Yonkers, NY 10710-1853
Phone (914) 337-2727

Other identifiers 7

IdentifierTypeStateIssuer
182930POtherNYCMO HIP
0135160OtherNYGHI
OH3566OtherNYHEALTHNET
P3501546OtherNYOXFORD
2478982OtherNYUNITED HEALTHCARE
6N0511OtherNYEMPIRE BC BS
2292741OtherNYCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070620000658 NY Part B Supplier - Clinic/Group Practice 0042319733 Receives reassigned benefits from 1 practitioner
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Locations

1 Pondfield Rd
Ste 303
Bronxville, NY 10708
Phone (914) 337-2727

2150 Central Park Ave
Yonkers, NY 10710
Phone (914) 337-2727

2150 Central Park Ave
Ste 205
Yonkers, NY 10710
Phone (914) 337-2727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1942323837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CENTRAL PARK AVE",
            "address_2": "SUITE 205",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101853",
            "telephone_number": "914-337-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CENTRAL PARK AVE",
            "address_2": "SUITE 205",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101853",
            "telephone_number": "914-337-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER ALLERGY, ASTHMA AND IMMUNOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "FEDOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-337-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "232091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMO HIP",
            "identifier": "182930P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0135160",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OH3566",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3501546",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2478982",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "6N0511",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2292741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.