MOUNT KISCO MEDICAL GROUP PC – NPI #1104863836
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
MOUNT KISCO MEDICAL GROUP PC is a provider located in MOUNT KISCO, NY. NPPES has assigned the NPI number 1104863836 to MOUNT KISCO MEDICAL GROUP PC on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Sep 11, 2025. 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 MOUNT KISCO MEDICAL GROUP PC below.
NPI Profile for
MOUNT KISCO MEDICAL GROUP PC
(more than 20 years ago)
MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY 10549 Phone: (914) 241-1050 Fax: (914) 242-1516
MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY 10549-3412 Phone: (914) 241-1050 Fax: (914) 242-1516
MEDICAL DIRECTOR
Phone: (914) 242-1587
Identifiers for MOUNT KISCO MEDICAL GROUP PC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NY | 00547351 |
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.
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.