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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: October 18, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phelps Memorial Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Phelps Memorial Hospital Association, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Urology10
General Surgery1
Neurosurgery1

Clinicians, nearest first (12)

Ehab Eltahawy, M.D.
Urology
NPI 1306173661
755 N BROADWAY STE 510
Sleepy Hollow, NY 10591
(914) 302-0100
✔ PECOS✔ Accepts MedicareSame address
Wayne Debeatham, M.D.
Neurosurgery
NPI 1629232368
701 N BROADWAY
Sleepy Hollow, NY 10591
(914) 366-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Mohamed Elsaqa, MD
Urology
NPI 1134919574
701 N BROADWAY
Sleepy Hollow, NY 10591
(914) 366-3000
✔ PECOS✔ Accepts Medicare3.9 mi
Ahmed Rabie, MD
Urology
NPI 1407739923
701 N BROADWAY
Sleepy Hollow, NY 10591
(914) 366-3000
✔ PECOS✔ Accepts Medicare3.9 mi
Mitchell Fraiman, MD
Urology
NPI 1417931189
2 MEDICAL PARK DR
West Nyack, NY 10994
(845) 354-5000
✔ PECOS✔ Accepts Medicare7.1 mi
Igor Voznesensky, MD
Urology
NPI 1689101776
257 LAFAYETTE AVE
Suffern, NY 10901
(845) 777-3569
✔ PECOS✔ Accepts Medicare15 mi
Nefertiti Childrey, D.O.
General Surgery
NPI 1255538906
234 E 149TH ST STE 2A7
Bronx, NY 10451
(718) 579-6672
✔ PECOS✔ Accepts Medicare16 mi
Andrew Fishman, M.D.
Urology
NPI 1679839450
234 E 149TH ST # 2A7
Bronx, NY 10451
(718) 579-5710
✔ PECOS✔ Accepts Medicare16 mi
Guy Verhovsky, M.D
Urology
NPI 1457043689
234 E 149TH ST
Bronx, NY 10451
(718) 579-5000
✔ PECOS✔ Accepts Medicare16 mi
Michael Grasso, MD
Urology
NPI 1437184280
100 E 77TH ST 4TH FLOOR, EAST BLDG
New York, NY 10075
(212) 434-6300
✔ PECOS✔ Accepts Medicare20 mi
Steven Berman, M.D.
Urology
NPI 1407846652
34 MAPLE ST
Norwalk, CT 06850
(203) 852-2000
✔ PECOS✔ Accepts Medicare23 mi
Israel Franco, MD
Urology
NPI 1093744567
789 HOWARD AVENUE, FMP 300
New Haven, CT 06520
(203) 785-7671
✔ PECOS51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Brightwaters Gynecology PC enrolled in Medicare?

Yes. Brightwaters Gynecology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brightwaters Gynecology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Brightwaters Gynecology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (10), General Surgery (1) and Neurosurgery (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7 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.