1912992215 NPI number — NORTHERN WESTCHESTER HOSPITAL ASSOCIATION

Table of Contents

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:
Provider Other Organization Name Type Code:
6
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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