DIVINITY MEDICAL SERVICES PLLC (NPI# 1497159560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497159560 |
| Entity Type | Organization |
| Organization Name | DIVINITY MEDICAL SERVICES PLLC |
| Other Organization Name | DOCTORS EXPRESS YORKTOWN |
| Practice Address |
3379 Crompond Rd Yorktown Heights NY 10598-3605 |
| Mailing Address |
3091 Chen Ct Yorktown Heights NY 10598-1972 |
| Practice Telephone | 9148449803 |
| Practice Fax Number | 9149305551 |
| Mailing Telephone | 9148449803 |
| Mailing Fax Number | 9149305551 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | DR. RAJESH GUPTA (DIRECTOR) |
| Authorized Official Telephone | 9149305550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
197245 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1902891393 | 01 |
| NY | 01749875 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Express Yorktown | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DIVINITY MEDICAL SERVICES PLLC | 3091 Chen Court, Yorktown Heights, Ny 10598 |
| Street Address |
3379 CROMPOND RD |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 10598-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228293 | Karen E Forbes | Nurse Practitioner | 3379 Crompond Rd, Yorktown Heights, NY 10598-3605 | 2006-06-28 |
| 1972866259 | Christine W Ashour | Family Medicine | 3379 Crompond Rd, Yorktown Heights, NY 10598 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715859 | Francoise Alice Stine | Registered Nurse | 162 Tomahawk Street, Yorktown Heights, NY 10598 | 2019-02-10 |
| 1184170771 | I Heart Soul | Community/Behavioral Health | 240 Underhill Ave Apt 6, Yorktown Heights, NY 10598 | 2016-09-01 |
| 1881147338 | Alexandra Bucci | Speech-Language Pathologist | 143 California Road, Yorktown Heights, NY 10598 | 2016-08-02 |
| 1821488016 | Judith Lynn Baddeley | Behavioral Analyst | 2293 William Court, Yorktown Heights, NY 10598 | 2015-01-27 |
| 1275931362 | Deborah Ann Roffi | Licensed Practical Nurse | 420 Cording Road, Yorktown, NY 10598 | 2014-12-05 |
| 1932506433 | Cindi Bane | Dentist | 206 Veterans Road, Suite 7, Yorktown Heights, NY 10598 | 2014-11-26 |
| 1992105068 | Kerry Farrell | Speech-Language Pathologist | 369 Birdsall Dr, Yorktown Heights, NY 10598 | 2014-08-26 |
| 1306255500 | Ursula Sanchez | Occupational Therapist | 57 Oslo Drive, Bronx, NY 10598 | 2014-08-13 |
| 1922410463 | Dana Linden | Behavioral Analyst | 3595 Strang Blvd Apt A, Yorktown Heights, NY 10598 | 2014-06-02 |
| 1598192361 | Barbara Ann Nuccio | Registered Nurse | 1431 Chatham Lane, Yorktown Heights, NY 10598 | 2013-10-10 |
| Find all providers in zip 10598 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1174122923 | City Medical of Upper East Side, Pllc | Clinic/Center | 1412 Broadway, New York, NY 10018-9228 | 2020-10-22 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1932712049 | Lefferts Medical Associates PC | Clinic/Center | 808a Hicksville Rd, Massapequa, NY 11758-1262 | 2020-08-28 |
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1649899832 | City Medical of Upper East Side, Pllc | Clinic/Center | 424 S Broadway, Yonkers, NY 10705-2301 | 2020-04-09 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | YORKTOWN HEIGHTS |
| Zip Code | 10598 |
Please comment or provide details below to improve the information on DIVINITY MEDICAL SERVICES PLLC.
| 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.