PHELPS MEDICAL SERVICES, PC (NPI# 1558693481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693481 |
| Entity Type | Organization |
| Organization Name | PHELPS MEDICAL SERVICES, PC |
| Other Organization Name | PHELPS MEDICAL ASSOCIATES, PC |
| Practice Address |
701 N Broadway Phelp Medical Associates Sleepy Hollow NY 10591-1020 |
| Mailing Address |
155 White Plains Rd Suite 210a Phelps Professional Billing Tarrytown NY 10591-5523 |
| Practice Telephone | 9143661000 |
| Mailing Telephone | 9142691762 |
| Mailing Fax Number | 9145247985 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | DR. LAWRENCE L FALTZ (SHAREHOLDER, DIRECTOR, OFFICER) |
| Authorized Official Telephone | 9143661000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phelps Medical Associates, PC | Doing Business As Name - Organization |
| Street Address |
701 N BROADWAY PHELP MEDICAL ASSOCIATES |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250287 | Mary Elizabeth Damore | Pediatrics | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2005-07-22 |
| 1326660887 | Yvonne Liang | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1096 | 2020-05-07 |
| 1518588920 | Melina Cherian Pooppallil | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-04-27 |
| 1972130409 | Peter Rasmussen | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1851928220 | Amir Michael Razani | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1124655758 | Jing Xiao | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-24 |
| 1801423793 | Justen Luis Molina | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-23 |
| 1700412640 | Aditi Gupta | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1477189405 | Rachel Graham | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1346876604 | Arlyn Eucaris Fraim | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356782544 | Chs Ny Medical, P.C. | General Practice | 1 Rockwood Rd, Health Center, Sleepy Hollow, NY 10591-1053 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
Please comment or provide details below to improve the information on PHELPS MEDICAL SERVICES, PC.
| 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.