KATONAH MEDICAL GROUP PC
NPI 1629087788
Urology in Katonah, NY

Active since August 07, 2006
111 BEDFORD ROAD, KATONAH, NY 10536(914) 232-3135(914) 232-4465 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Katonah Medical Group Pc NPPES

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

KATONAH MEDICAL GROUP PC (NPI 1629087788) is a healthcare organization registered as an urology in Katonah, New York and active in the NPI registry since August 2006. The organization lists Richard C Amodeo, Administrator Cfo, as its authorized official.

NPPES Registry Identity

NPI1629087788
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameKATONAH MEDICAL GROUP PC
Location Address111 BEDFORD ROADKatonah, NY 10536
Mailing Address111 Bedford RoadKatonah, NY 10536 · (914) 232-3135 · Fax (914) 232-4465
Fax(914) 232-4465
Organization SubpartNo
Authorized OfficialRichard C AmodeoAdministrator Cfo · (914) 232-3135
Enumeration DateAugust 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1629087788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
111 BEDFORD ROAD, Katonah, NY 10536

Other Identifiers 1

Medicaid00787811NY

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

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

Nurse Practitioner
111 BEDFORD ROAD, MOUNT KISCO MEDICAL GROUP PC
KATONAH, NY 10536

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 Katonah Medical Group PC's NPI number?

The NPI number for Katonah Medical Group PC is 1629087788. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Katonah Medical Group PC located?

Katonah Medical Group PC is located at 111 Bedford Road, Katonah, NY 10536. The listed phone number is (914) 232-3135.

What is Katonah Medical Group 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 Katonah Medical Group PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.