| NPI | 1366468936 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-15 |
| Last Updated | 2025-05-16 |
| Authorized Official | Paul Antonecchia M.D Phone: 9149644965 |
| Mailing Address | Po Box 998, Attn: Riverside Management Services Org Yonkers, NY 10703-0998 United States Phone: (914) 966-9787 | Fax: (914) 966-9793 📍 View Map |
| Primary Practice Address | 1088 North Broadway Yonkers, NY 10701 United States Phone: (914) 207-0004 | Fax: (914) 965-0107 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02384247 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 133V00000X – Dietitian, Registered | - | - |
| No | 207Q00000X – Family Medicine | - | - |
| No | 207R00000X – Internal Medicine | - | - |
| No | 207RG0100X – Internal Medicine, Gastroenterology | - | - |
| No | 207RG0300X – Internal Medicine, Geriatric Medicine | - | - |
| No | 207RN0300X – Internal Medicine, Nephrology | - | - |
| No | 207X00000X – Orthopaedic Surgery | - | - |
| No | 2081P2900X – Physical Medicine & Rehabilitation, Pain Medicine | - | - |
| No | 2084P0800X – Psychiatry & Neurology, Psychiatry | - | - |
| No | 208M00000X – Hospitalist | - | - |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | - | - |
| No | 363A00000X – Physician Assistant | - | - |
| No | 363L00000X – Nurse Practitioner | - | - |
| No | 363LF0000X – Nurse Practitioner, Family | - | - |
| Yes | 261QM1300X – Clinic/Center, Multi-Specialty | - | - |
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About NPI 1366468936
Sjr Medical, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1366468936. The primary specialty listed is Clinic/Center, Multi-Specialty. The organization is located in Yonkers, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366468936?
NPI 1366468936 belongs to Sjr Medical, Pc, a Clinic/Center, Multi-Specialty in Yonkers, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366468936 active?
The current status of NPI 1366468936 in the NPPES registry is Active. The record was last updated on 2025-05-16.
What specialty is NPI 1366468936?
NPI 1366468936 is classified under the taxonomy Clinic/Center, Multi-Specialty. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366468936?
You can verify NPI 1366468936 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366468936?
The primary practice address on file for NPI 1366468936 is 1088 North Broadway, Yonkers, NY 10701. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366468936 issued?
NPI 1366468936 was first issued (enumerated) on 2006-07-15. The NPPES record was last updated on 2025-05-16.
Practice Location Map
Sjr Medical, Pc is located at 1088 North Broadway, Yonkers, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sjr Medical, Pc. All records sourced from the CMS NPPES registry.