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SJR MEDICAL, PC
NPI 1366468936
Clinic/Center - Multi-Specialty in Yonkers, NY

Active since July 15, 2006CLIA 33D2075539 · Waiver
1088 NORTH BROADWAY, YONKERS, NY 10701(914) 207-0004(914) 965-0107 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Jul 23, 2021, Jul 12, 2021 (3 updates tracked since 2021).

About Sjr Medical, Pc NPPES

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

SJR MEDICAL, PC (NPI 1366468936) is a healthcare organization registered as a multi-specialty in Yonkers, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 5 additional practice locations, and lists Paul P. Antonecchia, M.d, as its authorized official.

NPPES Registry Identity

NPI1366468936
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSJR MEDICAL, PC
Location Address1088 NORTH BROADWAYYonkers, NY 10701
Mailing AddressPo Box 998, Attn: Riverside Management Services OrgYonkers, NY 10703-0998 · (914) 966-9787 · Fax (914) 966-9793
Phone(914) 207-0004
Fax(914) 965-0107
Organization SubpartNo
Authorized OfficialPaul P. AntonecchiaM.d · (914) 964-4965
Enumeration DateJuly 15, 2006
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1366468936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1088 NORTH BROADWAY, Yonkers, NY 10701
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Secondary Practice Locations 5

Location 1141 S. Central Avenue, STE. 301Hartsdale, NY 10530-2334 · Phone (914) 713-3228 · Fax (914) 713-3231
Location 2128 Ashford Avenue, 2nd FloorDobbs Ferry, NY 10522-1924 · Phone (914) 693-6500 · Fax (914) 693-2800
Location 31019 Yonkers AvenueYonkers, NY 10704-3070 · Phone (914) 237-1941 · Fax (914) 207-2420
Location 41022 North BroadwayYonkers, NY 10701-1332 · Phone (914) 904-4040 · Fax (914) 904-4692
Location 52 Park AveYonkers, NY 10703-3402 · Phone (914) 966-9787 ext. 201 · Fax (914) 966-9793

Other Identifiers 1

Medicaid02384247NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2075539

Sjr Medical PC St John's Medical Group Hartsdale · Hartsdale, NY
Active · expires Mar 26, 2027
CLIA Number33D2075539
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Maria Lufrano
Laboratory Phone(914) 713-3228
Laboratory LocationSjr Medical PC St John's Medical Group Hartsdale141 S Central Ave, Hartsdale, NY 10530
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL A DIGIORNO D.O.
Internal Medicine (Nephrology)
1088 NORTH BROADWAY
YONKERS, NY 10701
Westchester County (914) 207-0004
DR. STEPHEN EROSA DO
Physical Medicine & Rehabilitation (Pain Medicine)
1088 NORTH BROADWAY
YONKERS, NY 10701
Westchester County (914) 207-0004
DR. OREST JOHN KOZICKY MD
Internal Medicine (Gastroenterology)
1088 NORTH BROADWAY
YONKERS, NY 10701
Westchester County (914) 207-0004

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 Sjr Medical, PC's NPI number?

The NPI number for Sjr Medical, PC is 1366468936. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Sjr Medical, PC located?

Sjr Medical, PC is located at 1088 North Broadway, Yonkers, NY 10701. The listed phone number is (914) 207-0004.

What is Sjr Medical, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Sjr Medical, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2075539) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sjr Medical, PC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.