BRIGHTWATERS GYNECOLOGY PC (NPI# 1316509979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316509979 |
| Entity Type | Organization |
| Organization Name | BRIGHTWATERS GYNECOLOGY PC |
| Other Organization Name | PHELPS MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
755 N Broadway Sleepy Hollow NY 10591-1075 |
| Mailing Address |
2000 Marcus Ave New Hyde Park NY 11042-1069 |
| Practice Telephone | 9143020100 |
| Practice Fax Number | 9143020600 |
| Mailing Telephone | 5163216629 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phelps Memorial Hospital Association | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 N Broadway, Sleepy Hollow, NY 105911096 | 5163020100 | 5163020600 |
| Street Address |
755 N BROADWAY |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795647 | Richard Anthony Noto | Pediatrics | 755 N Broadway, Suite 400, Sleepy Hollow, NY 10591-1075 | 2005-07-22 |
| 1053942755 | Sheetal Shenoy | Occupational Therapist | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2020-01-31 |
| 1306480843 | Kristina Mendicino | Nurse Practitioner | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2019-10-28 |
| 1376948653 | Lilly Singh | Obstetrics & Gynecology | 755 N Broadway, Suite 560, Sleepy Hollow, NY 10591-1075 | 2014-10-28 |
| 1790101764 | Syna Marie Kandarappallil | Internal Medicine | 755 N Broadway, Senior Health and Internal Medicine Suite 100, Sleepy Hollow, NY 10591-1075 | 2014-03-13 |
| 1164774303 | Gloria Jean Hudson | Occupational Therapist | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2012-10-12 |
| 1497007769 | Phelps Memorial Hospital Center | General Acute Care Hospital | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2012-10-10 |
| 1528310851 | Rachel Lynne Friedman | Physical Therapist | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2012-10-10 |
| 1477805950 | Mercedes Eagleson | Physical Therapist | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2012-10-09 |
| 1295087948 | Anjum Lone | Occupational Therapist | 755 N Broadway, Sleepy Hollow, NY 10591-1075 | 2012-10-04 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
Please comment or provide details below to improve the information on BRIGHTWATERS GYNECOLOGY 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.