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PHELPS MEMORIAL HOSPITAL ASSOCIATION
NPI 1316509979
Urology in Sleepy Hollow, NY

Active since July 03, 2019
755 N BROADWAY, SLEEPY HOLLOW, NY 10591(914) 302-0100(914) 302-0600 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2019, Jul 3, 2019 (2 updates tracked since 2019).

About Phelps Memorial Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHELPS MEMORIAL HOSPITAL ASSOCIATION (NPI 1316509979) is a healthcare organization registered as an urology in Sleepy Hollow, New York and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Sleepy Hollow and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1316509979
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBRIGHTWATERS GYNECOLOGY PC
Location Address755 N BROADWAYSleepy Hollow, NY 10591-1075
Mailing Address2000 Marcus AveNew Hyde Park, NY 11042-1069 · (516) 321-6629
Phone(914) 302-0100
Fax(914) 302-0600
Organization SubpartNo
Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration
✔ NPI 1316509979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X
755 N BROADWAY, Sleepy Hollow, NY 10591
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Other Names 1

Doing Business AsPhelps Memorial Hospital Association

Secondary Practice Location 1

Location 1701 N BroadwaySleepy Hollow, NY 10591-1096 · Phone (516) 302-0100 · Fax (516) 302-0600

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JILLIANN MARISA ELLIOTT M.D.
Internal Medicine
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-5490
SHEETAL SHENOY
Occupational Therapist
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-3700
SLEEPY HOLLOW MEDICAL GROUP@PHELPS
Obstetrics & Gynecology
755 N BROADWAY, SUITE 560
SLEEPY HOLLOW, NY 10591
Westchester County (914) 631-0337
MS. GLORIA JEAN HUDSON OTR/L
Occupational Therapist
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-3717
MRS. JENNIFER CAROLINE TEYFEL-FREESTONE PT
Physical Therapist
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-3709
MALVINA DE LOS REYES ELMADJIAN MD
Obstetrics & Gynecology
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-3000
DR. JOELLE MAST PHD, MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 358-0188
MRS. ANJUM LONE OTR/L,CHT
Occupational Therapist
755 N BROADWAY
SLEEPY HOLLOW, NY 10591
Westchester County (914) 366-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightwaters Gynecology PC's NPI number?

The NPI number for Brightwaters Gynecology PC is 1316509979. It was assigned to this organization in the NPPES registry on July 3, 2019. The provider is doing business as Phelps Memorial Hospital Association.

Where is Brightwaters Gynecology PC located?

Brightwaters Gynecology PC is located at 755 N Broadway, Sleepy Hollow, NY 10591. The listed phone number is (914) 302-0100.

What is Brightwaters Gynecology PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Brightwaters Gynecology PC was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.