Active NPI
Northern Westchester Surgical Services, P.C.
- Plastic and Reconstructive Surgery Physician
- Mount Kisco, NY
National Provider Identifier
1962707125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- NORTHERN WESTCHESTER SURGICAL SERVICES, P.C.
- Practice address
- 400 E Main St
Northern Westchester Hospital - North Building
Mount Kisco, NY 10549-3417 - Phone
- (914) 242-7622
- Fax
- (914) 242-3239
- NPI assigned
- Jan 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip C. Bonanno, M.D.
- Title
- Director
- Phone
- (914) 242-7640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
400 E Main St
Northern Westchester Hospital - North Building
Mount Kisco, NY 10549-3417
Mailing address
400 E Main St
Northern Westchester Hospital - Medical Affairs
Mount Kisco, NY 10549-3417
Phone (914) 242-7622
National Provider Directory
National Provider DirectoryLocations
400 E Main St
Bldg 1
Mount Kisco, NY 10549
3010 Westchester Ave
Purchase, NY 10577
Phone (914) 253-9088
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Mount Kisco, NY
- NPI 1790889301
-
- Plastic and Reconstructive Surgery Physician
- Troy, MI
- NPI 1023126703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295481600000",
"number": "1962707125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL - MEDICAL AFFAIRS",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-242-7622",
"fax_number": "914-242-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL - NORTH BUILDING",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-242-7622",
"fax_number": "914-242-3239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN WESTCHESTER SURGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A",
"authorized_official_last_name": "BONANNO",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "914-242-7640",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
- Northern Westchester Medical PC
- Northern Westchester Medical, PC
- Northern Westchester Physcial & Occupational Therapy
- Northern Westchester Plastic Surgery
- Northern Westchester Psychological Services (Mt Kisco CBT)
- Nuclear Cardiology Services of Northern Westchester
- Nyconn Orthopaedic & Rehabilitation Spcecialists, PLLC
- Nyconn Orthopaedic & Rehabilitation Specialists
- Christina O'Brien, MD
- Crossley O'Dell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.