KATONAH MEDICAL GROUP PC NPI 1629087788

NPI Information

NPI: 1629087788
Provider Name: KATONAH MEDICAL GROUP PC
Classification: Urology - 208800000X
Entity Type: Organization
Address: 111 BEDFORD ROAD
KATONAH, NY
ZIP 10536
Phone: (914) 232-3135

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NPI Details

KATONAH MEDICAL GROUP PC is an urology in Katonah, NY. The provider is 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. 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 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	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
4	207RG0100X	Internal Medicine	Gastroenterology	No
5	207RH0003X	Internal Medicine	Hematology & Oncology	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	No
7	207V00000X	Obstetrics & Gynecology		No
8	207X00000X	Orthopaedic Surgery		No
9	207Y00000X	Otolaryngology		No
10	208000000X	Pediatrics		No
11	208200000X	Plastic Surgery		No
12	2084N0400X	Psychiatry & Neurology	Neurology	No
13	208800000X	Urology		Yes

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
1	00787811	MEDICAID	NEW 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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