Organization Active NPI

Elizabeth Seton Pediatric Center

  • Institutional Pharmacy
  • Yonkers, NY
National Provider Identifier
1982913927
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
030218 Issued in NY
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

Updated by the provider on Jul 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030218OtherNYPHARMACY CERTIFICATION
04964196MedicaidNY
5800811OtherNCPDP

Other names 1

  • ELIZABETH SETON CHILDREN'S CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Seton Children'S Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.