DIVINITY MEDICAL SERVICES PLLC – NPI #1316511488
Clinic/Center

DIVINITY MEDICAL SERVICES PLLC is an AHC clinic located in YORKTOWN HEIGHTS, NY. NPPES has assigned the NPI number 1316511488 to DIVINITY MEDICAL SERVICES PLLC on May 13, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 7 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 5 years ago on May 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINITY MEDICAL SERVICES PLLC below.

NPI Profile for
DIVINITY MEDICAL SERVICES PLLC

NPI Number
1316511488
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINITY MEDICAL SERVICES PLLC
Primary location
3379 CROMPOND RD
YORKTOWN HEIGHTS, NY 10598-3605
Phone: (914) 930-5550 Fax: (914) 930-5551
7 Other location(s):
5 N Airmont Rd
Airmont, NY 10901-5152
Phone: (845) 547-0300
Fax: (845) 547-0301
1210 Webster Ave
Bronx, NY 10456-4208
Phone: (646) 612-7747
Fax: (646) 627-7719
332 E 149th St
Bronx, NY 10451-5627
Phone: (347) 329-4010
Fax: (347) 329-4009
5546 Broadway
Bronx, NY 10463-5250
Phone: (917) 688-4590
Fax: (917) 688-4591
359 N Central Ave
Hartsdale, NY 10530-1811
Phone: (914) 448-2273
Fax: (914) 448-2200
13525 79th St
Howard Beach, NY 11414-1010
Phone: (718) 865-3488
Fax: (718) 925-3470
203 Gramatan Ave Ste A
Mount Vernon, NY 10550-1291
Phone: (914) 202-4830
Fax: (914) 202-4834
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAJESH GUPTA
MEDICAL DIRECTOR
Phone: (914) 242-8318
Updated
Certification Date
May 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.