1912992215 NPI number — NORTHERN WESTCHESTER HOSPITAL ASSOCIATION

Table of content: (NPI 1912992215)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912992215 NPI number — NORTHERN WESTCHESTER HOSPITAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHERN WESTCHESTER HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912992215
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 E MAIN ST
Provider Second Line Business Mailing Address:
NORTHERN WESTCHESTER HOSPITAL - ADMINISTRATION
Provider Business Mailing Address City Name:
MOUNT KISCO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10549-3417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-666-1310
Provider Business Mailing Address Fax Number:
914-666-1055

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 E MAIN ST
Provider Second Line Business Practice Location Address:
NORTHERN WESTCHESTER HOSPITAL
Provider Business Practice Location Address City Name:
MOUNT KISCO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10549-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-666-1200
Provider Business Practice Location Address Fax Number:
914-666-1055
Provider Enumeration Date:
09/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CUSACK
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
EXECUTIVE VICE PRESIDENT & CFO
Authorized Official Telephone Number:
516-321-6058

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X , with the licence number:  6415020 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 5920000H , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ID0007 . This is a "CARECORE HEALTHNET PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10017300 . This is a "CDPHP PROVIDER ID#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12917 . This is a "AETNA PROVIDER ID #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000003763 . This is a "AFFINITY HEALTH PLAN ID #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 940 . This is a "ANTHEM HEALTH PROVIDER ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: MVP HEALTHPLAN . This is a "70424" identifier . This identifiers is of the category "OTHER".
  • Identifier: P012006002 . This is a "CORESOURCE STARNET PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02997694 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: ID0007 . This is a "HEALTHNET PIN #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00274144 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12917 . This is a "GHI MEDICAID PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3025541 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30729 . This is a "EMPIRE BLUE CROSS PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 335869 . This is a "MEDICARE SUB ACUTE" identifier . This identifiers is of the category "OTHER".




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