SJR MEDICAL, PC (NPI# 1366468936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468936 |
| Entity Type | Organization |
| Organization Name | SJR MEDICAL, PC |
| Practice Address |
2 Park Ave Yonkers NY 10703-3402 |
| Mailing Address |
Po Box 998 Attn: Riverside Management Services Org Yonkers NY 10703-0998 |
| Practice Telephone | 9149669787 |
| Practice Fax Number | 9149669793 |
| Mailing Telephone | 9149669787 |
| Mailing Fax Number | 9149669793 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | SILVIA UGALDE (ASSISTANT VICE PRESIDENT) |
| Authorized Official Telephone | 9149669787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02384247 | 05 |
| Street Address |
2 PARK AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10703-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784381 | Katherine L Elliott | Registered Nurse | 2 Park Ave, Hope Center At Park Care - 4w, Yonkers, NY 10703-3402 | 2006-03-17 |
| 1841824422 | Denise Elaine Morris | Registered Nurse | 2 Park Ave, Yonkers, NY 10703-3402 | 2020-02-24 |
| 1760013577 | Mark Henry | Social Worker | 2 Park Ave, Yonkers, NY 10703-3402 | 2020-01-30 |
| 1841839800 | Vibhuti Shah | Pharmacist | 2 Park Ave, Yonkers, NY 10703-3402 | 2019-12-22 |
| 1548727639 | Melissa R Saunders | Social Worker | 2 Park Ave, Yonkers, NY 10703-3402 | 2019-02-25 |
| 1518423870 | Luz P Bagampeshera | Case Manager/Care Coordinator | 2 Park Ave, Yonkers, NY 10703-3402 | 2019-02-12 |
| 1114483443 | Cecilia Enid Acevedo | Social Worker | 2 Park Ave, Yonkers, NY 10703-3402 | 2019-02-12 |
| 1053875377 | Erin M Marra | Counselor | 2 Park Ave, Yonkers, NY 10703-3402 | 2019-01-31 |
| 1184117988 | Joseph Santiago Gonzales | Registered Nurse | 2 Park Ave, Yonkers, NY 10703-3402 | 2018-06-07 |
| 1730691221 | Jairo Cordero | Nurse Practitioner | 2 Park Ave, Yonkers, NY 10703-3402 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865269 | Marvin Burgos | Specialist/Technologist, Other | 150 Parck Av., Yonkers, NY 10703 | 2016-12-08 |
| 1417490707 | Charity Excel Okechukwu | Registered Nurse | 10 Amackassin Terrice, Yonkers, NY 10703 | 2016-11-18 |
| 1164871943 | Dian Theresa Skeete-carter | Registered Nurse | 69 Moquette Row, Yonkers, NY 10703 | 2016-06-13 |
| 1962812214 | Greenburgh-north Castle Ufsd/greenburgh Academy | Local Education Agency (LEA) | 108 Shonnard Place, Yonkers, NY 10703 | 2014-05-07 |
| 1336562735 | Gina Robinson | Social Worker | 147 Bolmer Avenue, Yonkers, NY 10703 | 2014-01-22 |
| 1356684062 | Ana Suarez-tiburcio | Dentist | 22 Mt Pleasant Rd, Yonkers, NY 10703 | 2013-04-01 |
| 1326324179 | Godson Ihuoma Enyia | Registered Nurse | #2 Park Ave, Yonkers Service Center, Yonkers, NY 10703 | 2011-10-25 |
| 1326335175 | Compression Medical Supplies Corp. | Durable Medical Equipment & Medical Supplies | 270 Woodland Avenue, #2, Yonkers, NY 10703 | 2011-06-30 |
| 1396069431 | Theodore Cancel | Counselor | 8 Shonnard Place, Yonkers, NY 10703 | 2010-03-18 |
| 1619106481 | Catherine M Dwyer-warren | Licensed Practical Nurse | 87 High St., 2g, Yonkers, NY 10703 | 2009-07-14 |
| Find all providers in zip 10703 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1740475938 | Mmc Cross County Practice At Xavier | Clinic/Center | Mmc Cross County Practice At Xavier, 6 Xavier Drive, Yonkers, NY 10704-1371 | 2007-09-11 |
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| 1215953773 | T.y. Kim, M.d., P.C. | Clinic/Center | 967 N Broadway, Yonkers, NY 10701-1301 | 2006-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.