MOUNT KISCO MEDICAL GROUP PC NPI 1104863836

NPI Information

  • NPI: 1104863836
  • Provider Name: MOUNT KISCO MEDICAL GROUP PC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 34 SOUTH BEDFORD RD
    MOUNT KISCO MEDICAL GROUP PC
    MOUNT KISCO, NY
    ZIP 10549
  • Phone: (914) 241-1050

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NPI Details

MOUNT KISCO MEDICAL GROUP PC is a hematology and oncology internal medicine in Mount Kisco, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MOUNT KISCO MEDICAL GROUP PC NPI is 1104863836. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 SOUTH BEDFORD RD
MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY
ZIP 10549
Phone: (914) 241-1050
Fax: (914) 242-1516

The provider's authorized official is Abe Levy .
The authorized official title is Medical Director and has the following contact phone number (914) 242-1587.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyNo
2207N00000XDermatologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RH0000XInternal MedicineHematologyNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207XS0106XOrthopaedic SurgeryHand SurgeryNo
9207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
102085R0202XRadiologyDiagnostic RadiologyNo
11208600000XSurgeryNo
12208C00000XColon & Rectal SurgeryNo
13231H00000XAudiologistNo
14367A00000XAdvanced Practice MidwifeNo
15207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100547351MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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