1902890163 NPI number — NICHOLAS RUMMO MD

Table of content: NICHOLAS RUMMO MD (NPI 1902890163)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902890163 NPI number — NICHOLAS RUMMO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUMMO
Provider First Name:
NICHOLAS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902890163
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 E MAIN ST
Provider Second Line Business Mailing Address:
NORTHERN WESTCHESTER HOSPITAL,CENTER FOR SLEEP MEDICINE
Provider Business Mailing Address City Name:
MOUNT KISCO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10549-3417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-666-1827
Provider Business Mailing Address Fax Number:
914-666-1788

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 E MAIN ST
Provider Second Line Business Practice Location Address:
NORTHERN WESTCHESTER HOSPITAL,CENTER FOR SLEEP MEDICINE
Provider Business Practice Location Address City Name:
MOUNT KISCO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10549-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-666-1827
Provider Business Practice Location Address Fax Number:
914-666-1788
Provider Enumeration Date:
09/02/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  109153 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: 109153 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RS0012X , with the licence number: 109153 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RC0200X , with the licence number: 109153 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2999285 . This is a "GHI PPO PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4147575 . This is a "MVP PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C6017 . This is a "HEALTHNET PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06105000011 . This is a "FIDELIS CARE PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000073280 . This is a "GHI HMO PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10048228 . This is a "CDPHP PIN#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 296571 . This is a "EMPIRE BC PIN #" identifier . This identifiers is of the category "OTHER".
  • Identifier: P1874163 . This is a "OXFORD PIN#" identifier . This identifiers is of the category "OTHER".