MONTEFIORE MEDICAL CENTER (NPI# 1417114497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417114497 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC WESTCHESTER FACULTY PRACTICE |
| Practice Address |
495 Central Park Ave Scarsdale NY 10583-1068 |
| Mailing Address |
100 Corporate Dr Cmo Yonkers NY 10701-6807 |
| Practice Telephone | 9143786163 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR OF PROVIDER SERVICES) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMC Westchester Faculty Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1811412554 | Montefiore Medical Center | Clinic/Center | 1250 Waters Pl Ste 1201, Bronx, NY 10461-2735 | 2017-08-03 |
| 1093230732 | Montefiore Medical Center | Clinic/Center | 688 White Plains Rd Ste 222, Scarsdale, NY 10583-5015 | 2017-08-03 |
| 1649628074 | Montefiore Medical Center | General Acute Care Hospital | 110 East 210th St, Bronx, Bronx, NY 10467 | 2016-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MONTEFIORE MEDICAL CENTER | 111 East 210th Street, Bronx, New York 10467 |
| Street Address |
495 CENTRAL PARK AVE |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205206 | David L Berger | Physical Therapist | 495 Central Park Ave, Suite 202, Scarsdale, NY 10583-1068 | 2005-09-14 |
| 1720517154 | Westchester Physical Therapy, Pllc | Physical Therapist | 495 Central Park Ave, Ste 206, Scarsdale, NY 10804 | 2017-06-08 |
| 1144657024 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 495 Central Park Ave, Suite 207, Scarsdale, NY 10583-1068 | 2013-10-08 |
| 1932536810 | Pediatric Endocrinology of New York P.c | Pediatrics | 495 Central Park Ave, Suite 208, Scarsdale, NY 10583-1068 | 2013-10-08 |
| 1538501788 | Central Avenue Office-based Surgery, P.C. | Clinic/Center | 495 Central Park Ave, Suite 305b, Scarsdale, NY 10583-1068 | 2013-07-29 |
| 1831432780 | Shudan Wang | Internal Medicine | 495 Central Park Ave, Scarsdale, NY 10583 | 2013-03-28 |
| 1942540281 | Mitchell Steinberg | Dentist | 495 Central Park Ave, Scarsdale, NY 10583-1068 | 2013-02-24 |
| 1033494620 | Vadim Vilensky | Clinical Exercise Physiologist | 495 Central Park Ave, Suite 207, Scarsdale, NY 10583-1068 | 2011-10-15 |
| 1124327135 | New York Oral Maxillofacial and Implant Surgery P.C. | Oral & Maxillofacial Surgery | 495 Central Park Ave, Suite 201, Scarsdale, NY 10583-1068 | 2011-03-17 |
| 1639479736 | Manish Ramesh | Allergy & Immunology | 495 Central Park Ave, Scarsdale, NY 10583-1068 | 2010-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1255805891 | Alexa Rose Wernick | Social Worker | 14 Harwood Ct Ste 512514, Scarsdale, NY 10583 | 2019-01-16 |
| 1295205854 | Christiaan Greer | Psychologist | 109 Montgomery Road Suite 203, Scarsdale, NY 10583 | 2018-11-27 |
| 1528537891 | Mobility Pro Pt PC | Physical Therapist | 783 White Plains Rd, Scarsdale, NY 10583 | 2018-11-16 |
| 1255832218 | Rochelle Sanders | Psychologist | 235 Nelson Road, Scarsdale, NY 10583 | 2018-02-26 |
| 1750808408 | Amy L Mittelstadt | Specialist | 9 Sentry Place Tr, Scarsdale, NY 10583 | 2017-08-24 |
| 1356861017 | Amanda Marie Rocco | Pharmacist | 1064 Wilmot Road, Scarsdale, NY 10583 | 2017-06-23 |
| 1609246065 | Safeta Kolenovic | Licensed Practical Nurse | 441 North Central Park Ave., #872, Scarsdale, NY 10583 | 2015-09-29 |
| 1003293168 | Scarsdale Dental Group | Dentist | 14 Harwood Ct., Ste 211, Scarsdale, NY 10583 | 2015-04-28 |
| 1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
| Find all providers in zip 10583 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
| 1528488665 | Brian Jeffrey Klein | Internal Medicine | 42 Corell Rd, Scarsdale, NY 10583-7449 | 2014-04-16 |
| 1548516842 | Bernard Gittleman | Internal Medicine | 6 Clarendon Place, Scarsdale, NY 10583-2418 | 2012-07-24 |
| 1275834020 | Paul Wesley Brandt-rauf | Internal Medicine | 40 Michael Dr, Scarsdale, NY 10583-6710 | 2010-11-10 |
| 1164668836 | Lawrence Hospital Center | Internal Medicine | 700 White Plains Rd Ste 22, Scarsdale, NY 10583-5013 | 2008-12-30 |
| 1033301015 | Guisela Maria Hernandez | Internal Medicine | 259 Heathcote Rd., Scarsdale, NY 10583-4523 | 2007-08-14 |
| 1689709842 | Barbara Stern Akresh | Internal Medicine | 5 Seneca Rd, Scarsdale, NY 10583-6930 | 2007-02-21 |
| 1003960386 | Roslyn Fleischer Schneider | Internal Medicine | 450 Ardsley Rd, Scarsdale, NY 10583-1914 | 2007-01-23 |
| 1174680151 | Christopher Lee Medical P.C. | Internal Medicine | 14 Clarendon Pl, Scarsdale, NY 10583-2418 | 2007-01-02 |
| 1437254786 | Carol E Tetenbaum | Internal Medicine | 810 Post Rd, Scarsdale, NY 10583-5007 | 2006-09-13 |
| Find all providers in SCARSDALE | ||||
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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.