Active NPIIndividual providerSole proprietor

Dr. Ellen R Gomprecht, MD

Internal Medicine in Bronxville, New York

NPI Number1053615799
Practice location
125 Mildland Avenue, Bronxville, NY 10708
Fax
—
Last updated
January 10, 2011

Ellen Regina Gomprecht is an Internal Medicine based in Bronxville, NY. Ellen Regina Gomprecht practices in Bronxville, NY and has the professional credentials of MD. The NPI Number for Ellen Regina Gomprecht is 1053615799 and holds a License No. 161113-1 (NY). The current practice location address for Ellen Regina Gomprecht is 125 Mildland Avenue, Bronxville, NY 10708 and can be reached out via phone at 914-584-1578.

Provider Profile Details

NPI Number
1053615799
Provider Name
Ellen Regina Gomprecht
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
125 Mildland Avenue, Bronxville, NY 10708
Phone Number
914-584-1578
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2011
Last Update Date
January 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Mildland Avenue
Bronxville, NY 10708
Zip
10708
Phone Number
914-584-1578
Bronxville, NY 10708Get directions →

Provider Business Mailing Address Details

Address
125 Mildland Avenue
Bronxville, NY 10708
City
Bronxville
State
NY
Zip
10708
Phone Number
914-584-1578

License Information

License Number (1)
161113-1
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
A 44828
License State (2)
CA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ellen R Gomprecht, MD?

The NPI number of Dr. Ellen R Gomprecht, MD is 1053615799. It was assigned on January 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Ellen R Gomprecht, MD?

Dr. Ellen R Gomprecht, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 161113-1.

Where does Dr. Ellen R Gomprecht, MD practice?

The practice location is 125 Mildland Avenue, Bronxville, NY 10708. The office can be reached at 914-584-1578 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053615799 directly on the NPPES registry website.

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