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KATONAH MEDICAL GROUP PC NPI 1629087788


NPI Information

NPI: 1629087788
Provider Name: KATONAH MEDICAL GROUP PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
111 BEDFORD ROAD
KATONAH, NY
ZIP 10536
Phone: (914) 232-3135
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KATONAH MEDICAL GROUP PC is an internal medicine in Katonah, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KATONAH MEDICAL GROUP PC NPI is 1629087788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 BEDFORD ROAD
KATONAH, NY
ZIP 10536
Phone: (914) 232-3135
Fax: (914) 232-4465

The provider's authorized official is Richard C Amodeo .
The authorized official title is Administrator Cfo and has the following contact phone number (914) 232-3135.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/22/2020.


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
1207R00000XInternal MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseX
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
4207RG0100XInternal MedicineGastroenterologyX
5207RH0003XInternal MedicineHematology & OncologyX
6207RP1001XInternal MedicinePulmonary DiseaseX
7207V00000XObstetrics & GynecologyX
8207X00000XOrthopaedic SurgeryX
9207Y00000XOtolaryngologyX
10208000000XPediatricsX
11208200000XPlastic SurgeryX
122084N0400XPsychiatry & NeurologyNeurologyX
13208800000XUrologyX

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
100787811MEDICAIDNEW 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.