Active NPI
Elizabeth Seton Pediatric Center
- Institutional Pharmacy
- Yonkers, NY
National Provider Identifier
1982913927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 030218
- Legal business name
- ELIZABETH SETON PEDIATRIC CENTER
- Practice address
- 300 Corporate Blvd S
Yonkers, NY 10701 - Phone
- (914) 294-6300
- Fax
- (914) 294-6181
- NPI assigned
- Sep 24, 2010
- 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
- M. Carla Perruccio
- Title
- Cfo
- Phone
- (914) 294-6128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 030218 | NY | Primary |
Addresses
Primary practice location
300 Corporate Blvd S
Yonkers, NY 10701
Mailing address
300 Corporate Blvd S
Yonkers, NY 10701-6862
Phone (914) 294-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030218 | Other | NY | PHARMACY CERTIFICATION |
| 04964196 | Medicaid | NY | |
| 5800811 | Other | NCPDP |
Other names 1
- ELIZABETH SETON CHILDREN'S CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171002000325 | NY | Part B Supplier - Pharmacy | 1052310976 | Practice locations: Yonkers, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pediatric Skilled Nursing Facility
- Yonkers, NY
- NPI 1578635561
1052310976
National Provider Directory
National Provider Directory- Tax ID family
- Elizabeth Seton Children'S Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Skilled Nursing Facility
- Yonkers, NY
- NPI 1578635561
Locations
300 Corporate Blvd S
Yonkers, NY 10701
Phone (833) 637-3866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1982913927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CORPORATE BLVD S",
"city": "YONKERS",
"state": "NY",
"postal_code": "107016862",
"telephone_number": "914-294-6300",
"fax_number": "914-294-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CORPORATE BLVD S",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-294-6300",
"fax_number": "914-294-6181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH SETON PEDIATRIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A",
"authorized_official_last_name": "PERRUCCIO",
"authorized_official_first_name": "M. CARLA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "914-294-6128"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NY",
"license": "030218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY CERTIFICATION",
"identifier": "030218",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04964196",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5800811",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELIZABETH SETON CHILDREN'S CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 3, 2023; 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.