MEDICAL GROUP OF NEW YORK, P.C.
NPI 1487983516
Nurse Practitioner - Family in Eastchester, NY
NPI Status: Active since December 21, 2009
Contact Information
375 WHITE PLAINS RD
EASTCHESTER, NY
ZIP 10709
Phone: (866) 389-2727
Fax: (401) 406-3539
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 33D2098820
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-26-2027
About MEDICAL GROUP OF NEW YORK, P.C.
This page provides the complete NPI Profile along with additional information for Medical Group Of New York, P.c., a provider established in Eastchester, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1487983516 assigned on December 2009. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated March 2025. Medical Group Of New York, P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1487983516
- Provider Legal Name
- MEDICAL GROUP OF NEW YORK, P.C.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 375 WHITE PLAINS RD EASTCHESTER, NY 10709
- Location Phone
- (866) 389-2727
- Location Fax
- (401) 406-3539
- Mailing Address
- PO BOX 772 MINUTECLINIC CREDENTIALING-MC2295 WOONSOCKET, RI 02895
- Mailing Phone
- (401) 770-3813
- Mailing Fax
- (401) 406-3539
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2009
- Last Update Date
- 03-04-2025
- Code Navigator
A nurse practitioner (NP) like Medical Group Of New York, P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- AultCare Bronze 7000 Select - PPO
- AultCare Bronze 8550 Select No Pediatric Dental - PPO
- AultCare Gold 1100 Select - PPO
- AultCare Gold 1100 Select No Pediatric Dental - PPO
- AultCare Silver 6550 Select No Pediatric Dental - PPO
- AultCare Standard Bronze Select No Pediatric Dental - PPO
- AultCare Standard Gold Select No Pediatric Dental - PPO
- AultCare Standard Silver Select No Pediatric Dental - PPO
- AultCare Bronze 5500 - PPO
- AultCare Bronze 7050 - PPO
- AultCare Gold 1000 - PPO
- AultCare Gold 1200 - PPO
- AultCare Gold 1800 - PPO
- AultCare Gold 2850 - PPO
- AultCare Gold 3150 - PPO
- AultCare Platinum 1200 - PPO
- AultCare Platinum 1800 Health Savings 500 - PPO
- AultCare Platinum 300 - PPO
- AultCare Platinum 500 - PPO
- AultCare Silver 2550 - PPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure - HMO
- Secure (Choice) - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes (Choice) - HMO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard - PPO
- Gold Elite - EPO
- Secure - EPO
- Secure - PPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - EPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2098820
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 15, 2015
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. DAVID G. FAIRCHILD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Group Of New York, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 9 | 8 | 3 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 18 | 8 | 6 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 8 + 8 + 6 + 5 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1487983516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770630329 | NANCY NEFF MANISTER DNS, FNP-BC Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD MINUTE CLINIC EASTCHESTER, NY 10709 (914) 337-5300 |
| 1043479447 | LAURA HALL Individual | Pharmacist | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1376703322 | MRS. KRISTA ROSE ALBANESE FNP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1144542515 | MRS. CAREN MARY NITIS RPH Individual | Pharmacist | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1518289917 | MRS. VIRGINIA ANGELA MANNELLO PHARMD Individual | Pharmacist | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1023331394 | MRS. LISA GIERER RPH Individual | Pharmacist | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1760767750 | JEANNETTE LASHER FNP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (866) 389-2727 |
| 1124122981 | CVS ALBANY LLC Organization | Pharmacy | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1255709788 | ALEXANDRA C COURTIEN Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1851541676 | MINI KALLARACKAL NP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (866) 389-2727 |
| 1205326279 | CHRISTINA STEPHENSON Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (866) 389-2727 |
| 1578821559 | GLAMILFI ADRIANA GUTIERREZ FNP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1184252298 | ROBERTO BUCCI RPH Individual | Pharmacist | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1710505805 | JUDITH ADJEI FNP-BC Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1528656360 | ADERONKE ADENIYI Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1285385567 | EDWIN DURAN FNP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1962150086 | MISHA VERNATTER LCSW Individual | Social Worker (Clinical) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1033236328 | MS. MARY ELLEN TRACEY NP-C Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1568061570 | LAURA WILLIAMS Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (914) 337-5300 |
| 1518465996 | JACQUELINE CARABALLO FNP Individual | Nurse Practitioner (Family) | 375 WHITE PLAINS RD EASTCHESTER, NY 10709 (646) 345-9810 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487983516, enumerated in the NPI registry as an "organization" on December 21, 2009
The provider is located at 375 White Plains Rd Eastchester, Ny 10709 and the phone number is (866) 389-2727
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Aetna CVS Health, Ambetter Health, Ambetter Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 33D2098820 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 21, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.