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Cover Page
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Project Design Grant Application
There will be no extensions for this application. Any application submitted past the due date will not be considered.
Section 1 Lead Applicant Info & Project Point of Contact Section 6 List of VendorsSection 2 Partner Organization - Contact Info Section 7 Design Grant TimelineSection 3 Partner Organizations & Service Area Section 8 Data RequestSection 4 Project Program Overview & Description Section 9 Design Grant BudgetSection 5 Community Needs Assessment & Stakeholder Engagement ** Section 10
To understand the Project Design Grant Application, carefully and thoroughly read through the Instructions before completing this application.
Special Terms & Conditions Attachment I Attachment J
(Recommend) - PowerPoint/Webinar
DSRIP LINK:
Application Due on: June 26, 2014
Project Advisory Committee (PAC) Form - (RELOCATED)
^ Due to changes, this section has been RELOCATED and made as a separate form which still needs to be filled out and can be found on the DSRIP website under "DSRIP Project Design Grant Application".
As a reminder and an addition to the instructions, you MUST read through the following state documents which are provided on the DSRIP website (see link below).
https://www.health.ny.gov/health_care/medicaid/redesign/delivery_system_reform_incentive_payment_program.htm
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 1 Applicant Info_Project Contact_Partner Organizations
Project Point of ContactLead Applicant Information Primary Contact
Contact Person: Ben Wade1.1) Organization Name: Montefiore Medical Center Address City State Zip Code
Operating Certificate # (Opcert): 7000006H Organization Address: 111 E 210th St, Planning Department Bronx NY 10467Provider Type: Voluntary Hospital (Non CAH, Non Sole Community Provider) Contact Phone Number: (718) 696-3051 Extension:
Provider Type - OTHER: Contact Email: [email protected]: 2998167 1.4)
Billing Entity ID: Secondary ContactNPI #1: 1952476988 Contact Person: Hope GlassbergNPI #2: Address City State Zip Code
Federal Employer ID (FEIN): Organization Address: 111 E 210th St, Office of Government Relations Bronx NY 10467Contact Phone Number: (347) 637-0674 Extension:
Contact Email: [email protected]
1.2) Please provide a brief statement as to why the lead organization is qualified to serve in this capacity. ( Restricted to 3000 characters)
Characters used: 3000
1.3)
OR
#1 Is the lead applicant one of the following providers? None of the above %
OR Select One
%A. 2A 76.3
YES
B. 2B 61.4
OR
#3 Select One 3
For Safety-net definition, please see link:
Montefiore Medical Center is a part of the Montefiore Health System, an integrated delivery system in the Bronx and lower Westchester and the University Hospital for the Albert Einstein College of Medicine. Montefiore was founded in 1884 as a care facility for patients with chronic illnesses and has continued this foundational mission through a focus on population health management programs tailored to complex care needs. From its inception, Montefiore has been committed to teaching, research, and community service and collaboration. Montefiore Medical Center comprises 1,500 total acute care beds and close to 150 community sites across the Bronx and lower Westchester. Montefiore Health System also includes an additional 400 acute care beds in Westchester at Montefiore New Rochelle and Mount Vernon Hospitals and 150 skilled nursing beds at The Schaffer Extended Care Center.In addition to presence in the region, as the lead applicant for the Hudson Valley DSRIP Collaborative (HVDC), Montefiore brings to bear unique capabilities that will support HVDC’s vision of a more integrated, sustainable, and patient-centered healthcare system. First, Montefiore maintains a portfolio of shared savings and full risk arrangements with insurers, currently accounting for half of Montefiore’s total revenue and nearly 300,000 patients. Using these resources, Montefiore has supported a population management approach that is seamlessly integrated with the delivery system. Finally, Montefiore has the infrastructure to support project implementation. Montefiore has a long track record of performance in population management programs that improve health, enhance patient experience of care, and lower costs. Montefiore launched its first risk relationships with insurers in the mid-1990s and shortly thereafter established the Montefiore Care Management (CMO) to provide care coordination and disease management services to patients. Montefiore’s care management resources work side by side with on-site clinical care, helping beneficiaries navigate across settings and access services such as housing and transportation. This suite of services can be tailored to patient populations with varying degrees of clinical severity and Montefiore’s experience taking on financial risk will help PPS members prepare for value-based payment arrangements.Montefiore also has a solid track record of effectiveness. We have created innovative models of care including the state’s first free-standing emergency room and a soon to be opened comprehensive ambulatory care center. We have managed an Integrated Provider Association that currently includes 3,000 providers and acted as both a lead Medicaid Health Home and New York’s only Pioneer Accountable Care Organization. We have strategically grown our operating margin over the last few years through efficient management, prudent financial oversight, and a strong information technology backbone, all of which can scale to support DSRIP operations.
Based on the lead applicant provider type, please fill out the applicable section below to verify that you meet the DSRIP safety- net definition (Either Hospital OR Non-hospital based) :
Hospital: A hospital must meet one of the three following criteria to participate in a performing provider system: Non-Hospital Based Provider - Must meet the following criteria:
Not participating as part of a state-designated Health Home, must have at least 35 percent of all patient volume in their primary lines of business and must be associated with Medicaid, uninsured and Dual Eligible individuals. (Please indicate what %)
#2 - Must pass both A & B test (Please indicate what % for both tests)
At least 35 percent of patient volume in their outpatient lines of business must be associated with Medicaid, uninsured, and Dual Eligible individualsAt least 30 percent of inpatient treatment associated with Medicaid, uninsured, and Dual Eligible individuals
Must serve at least 30 percent of all Medicaid, uninsured and Dual Eligible members in the proposed county or multi-county community. (The state will use Medicaid claims and encounter data as well as other sources to verify this claim. The state reserves the right to increase this percentage on a case by case basis so as to ensure that the needs of each community's Medicaid members are met.(Please indicate what %)
https://www.health.ny.gov/health_care/medicaid/redesign/docs/safety_net_definitions.pdf
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NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
2.1) Partner Organizations - Contact Information
1 Organization Name: 2 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip Code
Organization Address: Organization Address:Contact Person: Contact Person:
Contact Phone Number: Extension: Contact Phone Number: Extension:Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
3 Organization Name: 4 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
5 Organization Name: 6 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
7 Organization Name: 8 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
9 Organization Name: 10 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
11 Organization Name: 12 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
13 Organization Name: 14 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
15 Organization Name: 16 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
17 Organization Name: 18 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
19 Organization Name: 20 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
21 Organization Name: 22 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
23 Organization Name: 24 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
25 Organization Name: 26 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
27 Organization Name: 28 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
29 Organization Name: 30 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
31 Organization Name: 32 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
33 Organization Name: 34 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
35 Organization Name: 36 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
37 Organization Name: 38 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
39 Organization Name: 40 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
41 Organization Name: 42 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
43 Organization Name: 44 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
45 Organization Name: 46 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
47 Organization Name: 48 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
49 Organization Name: 50 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
51 Organization Name: 52 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
53 Organization Name: 54 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
55 Organization Name: 56 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
57 Organization Name: 58 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
59 Organization Name: 60 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
05/05/2023 document.xlsx
NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
61 Organization Name: 62 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
63 Organization Name: 64 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
65 Organization Name: 66 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
67 Organization Name: 68 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
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69 Organization Name: 70 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
71 Organization Name: 72 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
73 Organization Name: 74 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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75 Organization Name: 76 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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77 Organization Name: 78 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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79 Organization Name: 80 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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NYS DOH DSRIP_Project Design Grant Application Section 2 Partner Organizations' - Contact Info
81 Organization Name: 82 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
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NPI #1: NPI #1: NPI #2: NPI #2:
Federal Employer ID (FEIN): Federal Employer ID (FEIN):
83 Organization Name: 84 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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85 Organization Name: 86 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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87 Organization Name: 88 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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89 Organization Name: 90 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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91 Organization Name: 92 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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Federal Employer ID (FEIN): Federal Employer ID (FEIN):
93 Organization Name: 94 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
Contact Person: Contact Person:Contact Phone Number: Extension: Contact Phone Number: Extension:
Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
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95 Organization Name: 96 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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Contact Email: Contact Email:Provider Type: Select One Provider Type: Select One
Provider Type - OTHER: MMIS: Provider Type - OTHER: MMIS:Operating Certificate Number (OPCERT): Billing/Provider Entity ID: Operating Certificate Number (OPCERT): Billing/Provider Entity ID:
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Federal Employer ID (FEIN): Federal Employer ID (FEIN):
97 Organization Name: 98 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
Address City State Zip Code Address City State Zip CodeOrganization Address: Organization Address:
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99 Organization Name: 100 Organization Name:Qualified Under Safety Net Definition? Select One (Please select Yes or No) Qualified Under Safety Net Definition? Select One (Please select Yes or No)
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NYS DOH DSRIP_Project Design Grant Application Section 3 Partner Organizations Service Area
Partner Organizations
3.1)Select One
Provide explanation (Restricted to 2000 characters):
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Service Area3.2) Briefly describe the proposed service area for your entire emerging Performing Provider System below. (e.g. general overview, geographic location, any notable characteristics specific to your population, etc.) ( Restricted to 3000 characters)
Do any regulations need to be waived to accomplish a DSRIP partnership within your emerging Performing Provider System?
The Hudson Valley DSRIP Collaborative (HVDC) seeks flexibility in the following areas to support timely implementation, effective care coordination, and service integration, however the HVDC wishes to pose additional queries about waivers after more detailed project planning.• Certificate of need (CON) process: We recommend that the Department of Health use an expedited CON process for DSRIP activities, consolidate multiple state agency reviews and approvals, and accelerate surveys and approvals by the Regional office.• Certificate of Public Advantage (COPA) waiver: We request that the COPA regulation be adopted, with a modification that any revocation of COPA status apply prospectively rather than retrospectively, in accordance with major industry feedback.• Service integration: HVDC seeks flexibility in a number of areas to promote more integrated services:1. We request a waiver of state regulatory impediments to the co-location of services (i.e., co-locating services licensed by DOH, OMH, OASAS, OPWDD and/ or private practices) to support PPS partnerships and implementation of DSRIP projects2. Lift restrictions around the sharing of behavioral health patient information for the purposes of supporting clinical care • Referrals/payment: The HVDC seeks confirmation that DSRIP activities do not implicate the anti-kickback, Stark or gainsharing prohibitions or if so, that such regulations are waived.• Health Home eligibility and requirements: Health Home eligibility is established on the basis of historic utilization data, yet more recent data may show that an individual is better served through our proposed Health Home at risk program. In such instances, we request that PPSs be able to serve individuals found to be Health Home eligible through alternative program structures. For members currently in Health Homes, we seek flexibility in administrative program requirements (e.g. number and types of contacts for outreach and engagement).
The Hudson Valley DSRIP Collaborative (HVDC) will serve the communities of lower Westchester, Rockland, Orange, Sullivan, Dutchess, Ulster, and Putnam counties. These communities are not only contiguous, but share a number of clinical and health system features that merit a coordinated approach.
Disease BurdenThe communities within the HVDC face significant disease burden in a number of areas, which informed DSRIP project selection. Behavioral health is a notable area of need; Sullivan, Ulster, and Dutchess counties all posted higher rates of adults with poor mental health for more than 14 days per month compared to statewide averages. Additionally, cardiovascular disease was a sizable driver of hospital activity. Many areas have higher heart attack hospitalization rates than statewide averages and certain communities face particularly high prevalence rates. Rates of observed cases of angina in Yonkers are five times the overall Westchester rate, as one example. Finally, respiratory disorders are an area of challenge. Mt. Vernon has an observed chronic obstructive pulmonary disease (COPD) rate per 100,000 adults that is four times the rate of Westchester overall and Orange County’s observed rate of COPD in older adults is 20% higher than an age/sex adjusted statewide average. These diseases and others will be explored further through community needs assessment activities.
Delivery System Transformation:In most HVDC communities, approximately one-third of admissions are ambulatory care sensitive, suggesting that a good portion of the medical conditions being treated on an inpatient basis could be prevented with sufficient community-based resources and outreach. Related, many of these areas face deficits in key health professionals, such as primary care providers. Compared to the New York State average of one PCP for every 1200 residents, in both the Suffern Health Service Area (HSA) in Rockland County and the Carmel HSA in Putnam County, there is only one PCP for every 1500 individuals. The farther one travels from New York City, the rates become even more troubling: in several Orange County HSAs, there were nearly 2,200 people for every PCP.
These counties encompass communities with even more dire shortages. Westchester, Ulster, Sullivan, Rockland, and Orange all contain medically underserved areas and medically underserved populations, as determined by the federal Health Resources and Service Administration (HRSA). This designation signifies limited primary care providers, high infant mortality, and other healthcare challenges. Rockland, Sullivan, Ulster, and Westchester also include HRSA Health Professional Shortage Areas in primary care and/or mental health services. These factors suggest a need for better integrated services across inpatient and community based care and improved access to services, which the HVDC has prioritized in its project selection and will seek to sustain through value-based payment arrangements.
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NYS DOH DSRIP_Project Design Grant Application Section 3 Partner Organizations Service Area
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NYS DOH DSRIP_Project Design Grant Application Section 3 Partner Organizations Service Area
3.3) Check off with a "X" of all the counties that are within your emerging Performing Provider System proposed service area.
Albany Herkimer Richmond (Staten Island)Allegany Jefferson X RocklandBronx Kings (Brooklyn) Saint LawrenceBroome Lewis SaratogaCattaraugus Livingston SchenectadyCayuga Madison SchoharieChautauqua Monroe SchuylerChemung Montgomery SenecaChenango Nassau SteubenClinton New York (Manhattan) SuffolkColumbia Niagara X SullivanCortland Oneida TiogaDelaware Onondaga Tompkins
X Dutchess Ontario X UlsterErie X Orange WarrenEssex Orleans WashingtonFranklin Oswego WayneFulton Otsego X WestchesterGenesee X Putnam WyomingGreene Queens YatesHamilton Rensselaer
Please type in the letter "X" OR you can use the drop down menu:
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NYS DOH DSRIP_Project Design Grant Application Section 4 Project Program Overview/Description
Project Program Overview
DSRIP Projects - Must choose a Minimum of 5, Maximum of 10:
Domain 2 - Must select 2 projects, Maximum of 4 - At least 1 from sub list A, and 1 from sub list B or C.Domain 3 - Must select 2 projects, Maximum of 4 - At least 1 from sub list A, and 1 from sub list A, B, C, D, E, F, G or H.Domain 4 - Must select 1 project, Maximum of 2 - At least 1 from sub list A, B, C or D.** Please see Appendix B in the Instructions for details of each Domain. For further information, see link below for the DSRIP Project Toolkit**
DSRIP Project Toolkit:
4.1)
Project #1- Sub-list A I.S.
2.A.I Create Integrated Delivery Systems that are focused on Evidence Based Medicine / Population Health Management 56
Project #2- Sub-list B or C I.S.
2.B.III ED care triage for at-risk populations 43
Project #3 I.S.
2.A.III 46
Project #4 I.S.
2.A.IV Create a medical village using existing hospital infrastructure 54
Provide reasoning regarding why your emerging Performing Provider System has selected the projects listed above from Domain 2 (Restricted to 4000 characters)
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4.2)
Project #1- Sub-list AI.S.
3.A.I Integration of primary care services and behavioral health 39
Project #2- Sub-list A - HI.S.
3.A.II Behavioral health community crisis stabilization services 37
https://www.health.ny.gov/health_care/medicaid/redesign/docs/dsrip_project_toolkit.pdf
Domain 2 (System Transformation) - Applicants must select a minimum of two projects, maximum of 4 from this domain (one of which must be from sub-list A and one of which must be from sub-list B or C)
(REQUIRED) Must choose 1 from sub list A-->
(REQUIRED) Must choose 1 from sub list B or C-->
(NOT REQUIRED) Can choose 1 from sub list A, B or C-->
Health Home At-Risk Intervention Program –Proactive management of higher risk patients not currently eligible for Health Homes through access to high quality primary care and support services.
(NOT REQUIRED) Can choose 1 from sub list A, B or C-->
The Hudson Valley DSRIP Collaborative (HVDC) conducted conversations with participating providers across the geographic regions and analyzed data sources to make preliminary project selections in Domain 2. Data sources included total ambulatory care sensitive admissions by region; a composite of prevention quality indicator outcomes; provider supply by region; and community health needs and chronic disease statistics. Specific rationales by project area outlined below and more detailed analyses available upon request. The HVDC also intends to refine project selection based upon input from the forthcoming community health needs assessment and further discussions with stakeholders.
2.a.i: Feedback from HVDC participants and regional data underscored an urgent need to develop a more integrated, collaborative, and accountable service delivery structure. In all HVDC counties, ambulatory care sensitive admissions ranged from 25%-32% of hospital discharges, revealing that many could potentially have been averted with more robust community-based services and preventive interventions. Stakeholders highlighted the need for more availability of services across the care continuum and for services to address beneficiaries of varying ages, ranging from maternal/child health interventions to geriatric psychiatry programs for elderly populations. Under project 2.a.i, HVDC will address these issues and promote a more transformed, sustainable, and patient-centered health care system.
2.a.iii: Members of the HVDC are actively engaged in the New York Medicaid Health Home program and have seen frequent instances of patients with a single chronic disease, absent sufficient resources and services, advancing to multiple co-morbidities and Health Home eligibility. The HVDC sees project 2.a.iii as an important intervention to stem this tide. Additionally, HVDC participants believe that these patient dynamics are exacerbated by shortages of key health care professionals and limited connections across clinical and social service providers. To that end, the HVDC believes that project 2.a.iii aligns with the objectives of project 2.a.i.
2.a.iv: There is a significant opportunity to cultivate a medical village model that balances the array of services available across the care continuum and helps patients access care locally with greater ease. An evaluation of ratios of occupied to licensed beds shows that many providers have bed utilization rates at 50% of capacity or below. As a result, a number of these facilities bear the financial challenges of supporting infrastructures that are not at full capacity. Even so, disease burden in the region and an analysis of populations seeking services outside their region, indicates a notable unmet need. Through project 2.a.iv, the HVDC will develop medical villages that promote “one-stop shopping”: emergent services, along with urgent care, outpatient services, mental, emotional, and behavioral services, and other social services and supports within a single setting, with extended hours, and seamless electronic linkages across providers so that beneficiaries can receive integrated care, locally and without logistical barriers.
2.b.iii: The substantial percentage of ambulatory care sensitive admissions, coupled with high potentially preventable ED visit rates across regions, indicates that in too many instances, patients seek services within the emergency room for non-emergent purposes. HVDC participants affirm that access challenges (geographic distance, limited after-hours services, and lack of “one –stop shopping”) are contributing to ED utilization, and that cultural patterns also play a role. As the HVDC builds up community-based services, enhances connections across care settings, and improves access, an ED triage program is a natural companion activity that will meaningfully connect patients to services and break patterns of potentially avoidable ED utilization.
Domain 3 ( Clinical Improvement) – Applicants must select at least two projects from this domain (one of which must be A. Behavioral Health), but can submit up to 4 projects from Domain 3 for scoring purposes
(REQUIRED) Must choose 1 from sub list A-->
(REQUIRED) Must choose 1 from sub list A, B, C, D, E, F, G or H-->
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NYS DOH DSRIP_Project Design Grant Application Section 4 Project Program Overview/Description
Project #3- Sub-list A - H I.S.
3.B.I Evidence based strategies for disease management in high risk/affected populations (adult only) 30
Project #4- Sub-list A - H I.S.
3.D.III Evidence based medicine guidelines for asthma management 31
Provide reasoning regarding why your emerging Performing Provider System has selected the projects listed above from Domain 3 (Restricted to 4000 characters)
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4.3)
Project #1- Sub-list A-D I.S.
4.B.I Promote tobacco use cessation, especially among low SES populations and those with poor mental health 23
Project #2- Sub-list A-D I.S.
4.B.II 17
Provide reasoning regarding why your emerging Performing Provider System has selected the projects listed above from Domain 4 (Restricted to 4000 characters)
(NOT REQUIRED) Can choose 1 from sub list A, B, C, D, E, F, G or
H-->
(NOT REQUIRED) Can choose 1 from sub list A, B, C, D, E, F, G or
H-->
The HVDC conducted conversations with participating providers across the regions and also analyzed various data sources to make preliminary project selections in Domain Three. Data sources included diagnoses associated with ambulatory care sensitive admissions, Office of Mental Health behavioral health organization data, and behavioral health data within existing community health needs assessments. Specific rationales by project area outlined below and more detailed analyses available upon request as a supplement to this application. Additionally, the HVDC intends to continue to refine project selection based upon input from the forthcoming community health needs assessment and further discussions with HVDC stakeholders.3.a.i: HVDC providers flagged that a large number of individuals within their communities facing chronic diseases also contend with untreated behavioral health disorders, contributing to ED and ambulatory care use and social challenges such as housing instability. There are over 100,000 Medicaid beneficiaries facing mental diseases and disorders and many of the communities post higher percentages of adults with poor mental health for more than 14 days per month than statewide averages. Additionally some areas, such as Rockland, have shortages of child and adolescent psychiatric resources. These features highlight the need for strengthened coordination and integration of behavioral health and primary care services. Project 3.a.i activities will better meet the needs of Medicaid beneficiaries facing co-morbidities and identify and treat individuals with emerging behavioral health challenges. 3.a.ii: By creating both integrated behavioral health and primary care services in project 3.a.i, along with crisis stabilization resources in project 3.a.ii, the HVDC will support a robust continuum of fully aligned mental health and substance use disorder services, along with interventions to address at-risk populations such as individuals with dementia, autism, developmental disabilities, and traumatic brain injury. We anticipate that project 3.a.ii will have a direct impact on ED utilization and potentially preventable admissions by targeting interventions to individuals who would likely otherwise seek inpatient care. Finally, interventions like mobile crisis units will allow HVDC partners to meet patients where they are in the community, which may help to mitigate some of the access challenges that the HVDC will seek to rectify through project 3.a.i. and Domain 2 projects. 3.b.i: There are over 70,000 individuals with cardiovascular system diseases and disorders in the HVDC counties and in many areas, nearly a third of all ambulatory care sensitive discharges are among patients with a cardiology diagnosis. In addition to the disease burden, there are shortages of relevant health professionals – in Port Jervis, Goshen, and Warwick Health Service Areas in Orange County all have below New York state averages in supplies of cardiologists. For these reasons, the HVDC has chosen to pursue project 3.b.i, to improve care and outcomes for patients with cardiovascular diseases. 3.d.iii: Across the counties there are over 36,000 Medicaid beneficiaries with diseases and disorders of the respiratory system and in several of the counties, adults smoke at higher rates than the statewide average. Additionally, a large number of discharges among individuals with respiratory conditions are ambulatory care sensitive—ranging from 30% (Sullivan County) to 94% (Orange County). A number of the counties also demonstrate highly problematic asthma ED visit rates – in both Sullivan and Dutchess, rates are among the second worst quartile by county. These data show that unmanaged respiratory conditions appear to be a significant driver of potentially avoidable inpatient activity, supporting the selection of project 3.d.iii. This project also builds upon the tobacco cessation activity HVDC has chosen in Domain Four.
Domain 4 (Population-wide Strategy Implementation) – Applicants must select at least one project from this domain, but can submit up to 2 projects from Domain 4 for scoring purposes.
(REQUIRED) Must choose 1 from sub list A, B, C, or D-->
(NOT REQUIRED) Can choose 1 from sub list A, B, C, or D-->
Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings (Note: This project targets chronic diseases that are not included in domain 3.b., such as cancer)
The HVDC conducted conversations with participating providers across the regions and analyzed various data sources to make preliminary project selections in Domain Four. Specifically, the HVDC examined the New York State Prevention Agenda, along with tobacco utilization statistics, obesity prevalence statistics, asthma ED visits per 10,000, diabetes hospitalizations per 10,000, and chronic disease data. Specific rationales by project area outlined below and more detailed analyses available upon request as a supplement to this application. Additionally, the HVDC intends to continue to refine project selection based upon input from the forthcoming community health needs assessment and further discussions with HVDC stakeholders.
4.b.i: HVDC selected project 4.b.i. for several key reasons. Several of the counties – Orange, Sullivan, and Ulster – all have higher rates of adults who smoke than the New York state average. This project is targeted to individuals of lower SES and in poor mental health and therefore aligns with project 3.a.i, focused on integrating behavioral health into primary care settings. These projects interrelate because of both significant tobacco utilization among individuals with behavioral health disorders and because smoking is itself often an addiction, requiring behavioral intervention. This project will also support the efforts of project 3.d.iii focused on respiratory diseases, in that included activities not only promote cessation, but also stimulate more smoke free environments. Those interventions will benefit the community at large, particularly others with existing respiratory challenges exacerbated by second-hand smoke.
4.b.ii: HVDC determined that project 4.b.ii is a natural complement to the projects chosen in Domains 2 and 3. By developing a structure to ensure that more Medicaid beneficiaries receive evidence-based preventive care and chronic disease management, HVDC will strengthen the overall health of the population served. This project will allow the PPS to offer services across a healthcare continuum, with preventive services envisioned under 4.b.ii for individuals with less severity of illness, scaling up to more intensive disease management activities described in Domain 3 for individuals at greater levels of clinical severity. This project also complements project 2.a.iii in that the services that will be developed under 4.b.ii will help identify potential co-morbidities amongst the health home at risk population and prevent further advancement.
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NYS DOH DSRIP_Project Design Grant Application Section 4 Project Program Overview/Description
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NYS DOH DSRIP_Project Design Grant Application Section 4 Project Program Overview/Description
Project Description
4.4)
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4.5)
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4.6)
Provide a brief executive summary of your emerging Performing Provider System's vision and goals and how your emerging Performing Provider System hopes to sustain these achievements beyond the DSRIP program timeframe. (Restricted to 3000 characters)
Through DSRIP, the Hudson Valley DSRIP Collaborative (HVDC) envisions:• A transformed, more integrated delivery system, better able to take on risk and deliver value• A more sustainable delivery system, where more care is delivered locally, in the right care setting, providing more value for spend• A more patient-centered, accessible, and equitable health care system, where key services are expanded to meet the unique needs of patients, their families, and their communitiesTo achieve this vision, the HVDC has established a number of goals:• Sustain providers serving sizable numbers of Medicaid beneficiaries: HVDC will analyze financial instability among providers serving large Medicaid populations, devise responses, and make sure that the healthcare ecosystem strikes a healthy balance across provider types• Ready the system for value-based frameworks: HVDC will ensure that providers have the clinical, IT, and administrative infrastructure to transition to shared savings and full-risk arrangements with insurers • Reduce potentially preventable admissions and readmissions: HVDC will evaluate drivers of preventable activity, both disease and access-related causes, and develop responsive programs and initiatives and thereby reduce disparities in the healthcare system• Support a robust healthcare workforce: HVDC will develop workforce training efforts to meet service demands and to address competencies implicit in new models of care The HVDC will employ several approaches to ensure long-term sustainability of DSRIP efforts. The HVDC PPS will evaluate Medicaid utilization data and conduct a community needs assessment to better understand the extent to which healthcare services meet local needs. Preliminary analysis suggests that there is a significant opportunity to reorient services in ways that meet community needs and improve the financial health of institutions that today must carry the full freight of excess capacity. A robust workforce will be critical to meeting these objectives.Related, the HVDC will support more local utilization of care. Analysis of healthcare utilization outside of PPS counties shows that “outmigration” is a significant challenge. By strengthening the local healthcare workforce and service accessibility, the HVDC will ensure that more jobs and revenues are retained locally and that residents receive the highest quality care at lower costs. Finally, the HVDC will achieve long-term sustainability through insurer partnerships. DSRIP provides essential resources to develop and launch disease management and preventive health initiatives. Longer-term, value based reimbursement arrangements with payers can support program activities. Montefiore already maintains these relationships with several Medicaid managed care plans and throughout the course of DSRIP implementation, will seek to extend them to PPS participants and initiate new insurer collaborations.
Why does your emerging Performing Provider System, as a whole, feel uniquely qualified to participate in DSRIP and serve the area you have proposed? (Restricted to 3000 characters)
The HVDC is well positioned to serve Westchester, Rockland, Orange, Sullivan, Dutchess, Ulster, and Putnam counties. Across the counties, the HVDC PPS includes over 200 providers, representing a mix of federally qualified health centers, health homes, hospitals, specialty hospitals (e.g. specialty children’s hospitals), community based organizations, behavioral health providers, home care agencies, transportation services, skilled nursing facilities, school-based health programs, inpatient rehabilitation facilities, and, uniquely, 1199. Based upon state data, the HVDC providers serve over 200,000 Medicaid beneficiaries in the region, representing the most significant providers of care to Medicaid patients in the region from a volume perspective.
We believe that with this mix of providers, our PPS will be able to meet project objectives and have more than sufficient connections across the continuum to meaningfully transform how care is delivered. The HVDC is also actively working with PPS partners to address network gaps, particularly in the area of primary care and behavioral health, as flagged by the Department of Health.
In addition to the scope and breadth of our network, HVDC brings unique population health management background that makes our PPS well qualified to participate in DSRIP. Montefiore, as lead applicant, has extensive experience in developing large scale population health management programs that are part and parcel of the delivery system. Currently Montefiore manages care for nearly 300,000 beneficiaries in the Bronx and lower Westchester.
Care management services complement on-site care delivery by providing coordination between appointments and health care settings, chronic disease management, and disease management activities. The HVDC, leveraging Montefiore’s expertise and the experiences of a number of other PPS participants in the Health Home program and other Medicaid care management activities, is well poised to expand and enhance these services to transform how care is delivered under DSRIP. Effective transformation will also rely crucially upon strong relationships across providers, care managers, and other allied health professionals and this multi-disciplinary partnership model will be embedded in the HVDC DSRIP implementation.
Finally, the HVDC also will be able to smoothly transition over time to risk-based contracts with payers to support program activities. Montefiore currently holds shared savings and full risk contracts with a number of key Medicaid, Medicare, and commercial health insurers in the region and over the course of the project will extend these relationships to a broader base of PPS members and identify new insurer partnerships.
What specific challenges does your emerging Performing Provider System foresee that could hinder the implementation of its DSRIP Project Plan? (Restricted to 3000 characters)
There are several challenges that the HVDC anticipates may hinder DSRIP implementation:
Care Management Overlap and Health Home ReimbursementA number of Medicaid members within PPSs will be enrolled in multiple Medicaid programs, such as Health Homes, Managed Long Term Care Plans, and Health and Recovery Plans, all of which have their own care coordination requirements and quality monitoring parameters. We believe that complying with the requirements of multiple Medicaid programs, in addition to DSRIP, will detract from patient care and not add significant value. We would request that PPSs be given the flexibility in instances where individuals are enrolled in multiple Medicaid programs to determine a primary care coordination relationship and adhere to the requirements of that single relationship, along with DSRIP.
Related, many of the members within the HVDC PPS will likely be Health Home participants and we believe that it is important to have reimbursement frameworks that support the type of holistic care envisioned under DSRIP. Therefore, we recommend that the state strongly encourage insurers to develop value based payment arrangements with provider networks to support services to Health Home members; while there does not appear to be a regulatory barrier preventing these types of arrangements, we believe that emphasis from the state will fast track implementation.
IT SupportsPPSs will be held collectively accountable for performance metrics that individual systems may not have the capacity to either collect or share with other partners. We recommend that the Department of Health leverage resources for the Statewide Health Information Network for New York and Regional Health Information Organizations to support all PPSs in these activities.
FundingPre-implementation planning will require significant investment and many of the participating safety net providers have little or no resources to devote to these activities. We recommend that the Department of Health accept submissions of updated planning budget requests in early Fall 2014 and consider supplemental financial support if DSRIP applicant can demonstrate significant progress and opportunity to advance important project objectives.Once the DSRIP project commences, system changes envisioned will require real time funding and we have the same concerns as noted above. To effectively resource early program implementation, we request being pre-paid all or a portion of DSRIP funds. The PPS would be fully at risk for those funds and there would be a process for recoupment if DSRIP project providers are not meeting objectives.
VendorsThe HVDC continues to evaluate potential vendor needs to support DSRIP project implementation, but is not prepared at this stage to identify the names of individual vendors. After more detailed project planning, HVDC will be better positioned to identify both needs and appropriate vendors.
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NYS DOH DSRIP_Project Design Grant Application Section 4 Project Program Overview/Description
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There are several challenges that the HVDC anticipates may hinder DSRIP implementation:
Care Management Overlap and Health Home ReimbursementA number of Medicaid members within PPSs will be enrolled in multiple Medicaid programs, such as Health Homes, Managed Long Term Care Plans, and Health and Recovery Plans, all of which have their own care coordination requirements and quality monitoring parameters. We believe that complying with the requirements of multiple Medicaid programs, in addition to DSRIP, will detract from patient care and not add significant value. We would request that PPSs be given the flexibility in instances where individuals are enrolled in multiple Medicaid programs to determine a primary care coordination relationship and adhere to the requirements of that single relationship, along with DSRIP.
Related, many of the members within the HVDC PPS will likely be Health Home participants and we believe that it is important to have reimbursement frameworks that support the type of holistic care envisioned under DSRIP. Therefore, we recommend that the state strongly encourage insurers to develop value based payment arrangements with provider networks to support services to Health Home members; while there does not appear to be a regulatory barrier preventing these types of arrangements, we believe that emphasis from the state will fast track implementation.
IT SupportsPPSs will be held collectively accountable for performance metrics that individual systems may not have the capacity to either collect or share with other partners. We recommend that the Department of Health leverage resources for the Statewide Health Information Network for New York and Regional Health Information Organizations to support all PPSs in these activities.
FundingPre-implementation planning will require significant investment and many of the participating safety net providers have little or no resources to devote to these activities. We recommend that the Department of Health accept submissions of updated planning budget requests in early Fall 2014 and consider supplemental financial support if DSRIP applicant can demonstrate significant progress and opportunity to advance important project objectives.Once the DSRIP project commences, system changes envisioned will require real time funding and we have the same concerns as noted above. To effectively resource early program implementation, we request being pre-paid all or a portion of DSRIP funds. The PPS would be fully at risk for those funds and there would be a process for recoupment if DSRIP project providers are not meeting objectives.
VendorsThe HVDC continues to evaluate potential vendor needs to support DSRIP project implementation, but is not prepared at this stage to identify the names of individual vendors. After more detailed project planning, HVDC will be better positioned to identify both needs and appropriate vendors.
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NYS DOH DSRIP_Project Design Grant Application Section 5 Community Needs Assessment
Community Needs Assessment
Examples of items to include in the descriptions can be found in the instructions.
5.1)
Planning and Organizing
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Description - Each box is restricted to 5000 characters.
~ Keep in mind, the description box will expand as you type ~Community input into and support for the work of the Hudson Valley DSRIP Collaborative (HVDC) is fundamentally important to its success. As such, HVDC will establish a stakeholder engagement committee as a part of its overall governance structure. The goal in creating this committee is to leverage existing experience and relationships across the HVDC to establish strong two-way communication with multiple stakeholders on DSRIP, understand the communities’ needs as they evolve over time, continually inform program development, and build a sustainable model for ongoing stakeholder engagement into the future among both PPS partners and the broader community.
This committee will support regional project advisory committees (PACs) in stakeholder engagement activities; see section 10 for more details on the project advisory committee structure. Each PAC will be asked to quickly establish a community health needs assessment (CHNA) engagement sub-committee, tasked with supporting the PPS’ efforts to organize, launch, and complete local CHNAs. A number of providers within HVDC communities have recently completed their own CHNAs and HVDC will build upon this work wherever possible in the development of DSRIP CHNAs.
The stakeholder engagement committee will support PAC CHNA subcommittees by developing standard “rules of the road” to guide the CHNA process. Specifically, the stakeholder engagement committee will determine standard sources of secondary data, recommended primary data gathering approaches, and formats/suggestions for consolidating findings. This group will also provide some administrative and organizational support, to help to compile the CHNAs across the PAC regions into a single report, making use of Montefiore’s experience developing a model community service plan, as designated by the Department of Health in 2013.
To staff the cross-cutting stakeholder engagement committee, the HVDC will seek out subject matter experts within PPS providers and solicit participation from other local experts who may not otherwise be participating in the PPS, but offer critical perspectives in community engagement efforts and effective care transformation. These individuals could be representatives from housing, family service, and other types of organizations. In membership, the HVDC will strive for a balance of participants with familiarity in conducting community health needs assessments, those with expertise in communications and marketing activities, and individuals responsible for coordinating with federal and state policymakers.
Once assembled, the committee will explicitly designate regional teams responsible for coordinating with the regional PAC CHNA engagement subcommittees. At a minimum, these teams will include a project manager, a provider liaison, and a community-based organization liaison.
As a first order of business, the stakeholder engagement committee will identify clear goals and objectives that support a comprehensive, region-specific analysis of the healthcare resources and community based services that are currently available in the region, with a particular emphasis on services tailored to Medicaid beneficiaries. These goals will drive a more specific workplan that will outline activities to complete the community needs assessment. Chief among those activities are:
• Developing a project budget: Committee will create a comprehensive budget for engagement/community needs assessment activities that will be vetted by members of a DSRIP cross-cutting finance committee. • Supporting data gathering strategy: Committee will engage necessary staffing/consultant and technological resources to identify or build the necessary tools for primary and secondary data gathering and analysis. • Creating educational materials: Committee will support the development of communications materials such as flyers, brochures, and also online media that explains the DSRIP program, its objectives, and timeline. To ensure understandability, materials will be written in plain-language, with translations and culturally-appropriate language. • Determining outreach approach: The committee will work closely with CHNA stakeholder engagement committees to devise a multifaceted approach for disseminating information about the DSRIP program and facilitating community input, including creation of a website where materials can be publically posted, participation in local events, and targeted placements in local/regional media outlets.• Preparing final report and offering other logistical support: Committee will designate lead writers to consolidate local CHNAs into a single report that will inform the full project submission in December 2014.• Ongoing monitoring: The committee will also monitor ongoing DSRIP project activities for fidelity to needs highlighted in the community needs assessment report.
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NYS DOH DSRIP_Project Design Grant Application Section 5 Community Needs Assessment
Description
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Description
5.3)
Data Collection
Needs Assessment Methodology
The HVDC will build upon the experience of several PPS members in executing community health needs assessments to develop a methodology for a DSRIP-specific community health needs activity. In particular, the stakeholder engagement committee will take the following steps to finalize its methodology:• CHNA subject matter experts: The committee will identify existing experts among the PPS partners to provide support in the development of the community health needs assessment.• Community parameters: Based upon local/regional inputs, the committee will define community boundaries by county or other logically drawn boundaries • Compile data sources: The committee will evaluate existing community health needs assessments and community service plans from HVDC participants to add to secondary data; the HVDC will examine hospital-driven activities, but also assessments conducted by community-based organizations, potentially outside the HVDC PPS (detailed at greater length in the next section, along with other data sources)• Data Analysis and vetting: o The committee will evaluate secondary data across a number of dimensions and will present key findings to PACso The committee will also engage in primary data collection with stakeholders and community representatives o Finally, the committee will also determine channels for disseminating and reviewing findings with key stakeholders outside PACs• Report development: The committee will summarize findings and publish the report for public review before finalizing
Consistent with the state’s recently released guidance for conducting community health needs assessments within DSRIP, the stakeholder engagement committee will examine data sources with a mind toward gathering information on (1) health care and community resources; (2) community demographics and other characteristics; (3) significant health and health service challenges; and (4) assets and resources that can utilized to address DSRIP objectives and gaps. The stakeholder engagement committee will work with CHNA engagement sub-committees in each region to develop a multi-pronged data collection approach to address these areas. First the committee will help the regions analyze secondary data sets including:
• New York State Department of Health information available on the DSRIP website:o Salient information on providers, Medicaid members, and behavioral health utilizationo Hospital Inpatient Prevention Quality Indicatorso Inpatient Admissions and ED visit volumeo Prevention Agenda dashboardo Prevention Quality Indicators datao Statewide Planning and Research Cooperative System information, particularly via Market Expert producto New York state Community Health Indicator Reportso Health plan information: behavioral risk factor surveillance system and managed care reports• County Health department reports• County health ranking information• Community Health Needs Assessment information through www.chna.org• Census.gov and American Community Survey data to inform county level features• Dartmouth atlas information on provider availability • Advisory Board’s Crimson Market Advantage product on provider availability• Truven Health Analytics on disease prevalence and provider availability• Treo Solutions on potentially preventable activity
The stakeholder engagement committee will help the PAC CHNA engagement groups to analyze and distill relevant findings from this analysis.
As a second prong, the committee will help PAC CHNA engagement groups within the region undertake their own primary data collection activities, namely:• Community stakeholder presentations: relevant members of the community present findings/qualitative information to guide DSRIP project selection• Focus groups: small groups of stakeholders, including in some instances consumers, will engage in structured conversation to inform DSRIP project selection and design• Community survey tool: the survey will solicit feedback from a broader audience about DSRIP activities
After conducting a comprehensive analysis of these primary data sources, the stakeholder engagement committee and CHNA engagement groups will consolidate findings.
In analyzing both secondary and primary data sources, the committee and CHNA groups, will compare and benchmark metrics gathered from community sources against DSRIP metric sets, state average results, and results from higher performing communities/systems. This approach will clarify gaps in performance at the local/regional level and will inform project selection. With this analysis in hand across the regions, the stakeholder engagement committee will make recommendations related to final DSRIP project selection, design, and implementation strategies.
This process may reveal data gaps that are critical to evaluating success in the future, and the committee will be responsible for making such recommendations to the PAC. This process should help to encourage a culture of continuous improvement in public health data collection and analysis to inform both population health improvement and programmatic success.
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NYS DOH DSRIP_Project Design Grant Application Section 5 Community Needs Assessment
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Description
5.4)
Reporting
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As described in the previous section, the HVDC stakeholder engagement committee and PAC CHNA engagement sub-committees will conduct an exhaustive evaluation of secondary and primary data sources to drive DSRIP activities. After such data elements are collected, evaluated, and compiled, the HVDC will vet findings with stakeholders to ensure accuracy. After those activities have been completed and there is general consensus amongst committee members, the HVDC will develop a written report outlining data sources, the community health needs methodology, and results.
This report will draw upon the experience of several PPS members in creating comprehensive community service plans and other community health needs assessment reports. Montefiore, as lead applicant, will bring to bear its expertise, having prepared a model community service plan in 2013, as noted by the Department of Health. Once drafted, the plan will be made available to all HVDC partners and posted on a HVDC DSRIP web page for easy access and public comment. Additionally, in partnership with the PAC CHNA engagement groups, the committee will organize a set of meetings to outline the report’s findings and solicit public input. After receiving public feedback through these venues, the committee will revise the report and post the final version online.
The report will remain a living document. As the DSRIP project proceeds, the committee will hold intermittent public meetings to review the HVDC DSRIP performance to date and effectiveness in meeting gaps identified in the initial report.
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NYS DOH DSRIP_Project Design Grant Application Section 5 Community Needs Assessment
Stakeholder Engagement
5.5) As an emerging Performing Provider System, please explain the process on how you plan to engage the key stakeholders to develop your DSRIP Project Plan? (Restricted to 3000 characters)
(Key stakeholders should not be a part of the emerging Performing Provider System) - See instructions for examples of key stakeholders
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CHNAThe stakeholder engagement group will work closely with PACs to organize CHNA engagement sub-committees. The CHNA engagement groups will consist of 20-25 representatives from social service organizations, behavioral health providers, health directors and other appropriate personnel from local elected officials’ offices, municipal representatives from police, fire, public works and educational institutions. Additionally, sector based representatives will be added to the PAC CHNA sub-committees to reflect input from Medicaid consumers, seniors, families, retirees, youth serving entities, faith based organizations, individuals with disabilities and others. The CHNA engagement group will meet face-to-face on a monthly basis for initial planning into December 2014, and then four times annually during project implementation to monitor progress.
DSRIP Project PlanThe stakeholder engagement committee will ensure that external audiences have regular opportunities to provide feedback on the DSRIP project plan and review final decisions. In particular, the committee will develop targeted outreach to Medicaid consumers, unions, government officials, community leaders, major regional/local employers, religious organizations, school systems, and other advocacy groups through an open and transparent process. The committee will also develop strong relationships with union representatives, who will participate in the regional PAC structures, so that workforce issues are emphasized in project plan development.
Effective stakeholder engagement is only possible if individuals are empowered with a foundation of understanding about DSRIP and the mechanics of delivery system transformation. To that end, the committee will prepare interactive presentations, flyers, brochures, and also online media that explain the DSRIP program, its objectives, and timeline. To ensure understandability, materials will be written in plain-language, with translations and culturally-appropriate language.
To distribute these materials and other periodic project updates, the committee will use the following approaches: • Twitter: to share key facts about DSRIP and to inform the community of event dates and locations.• Information page on Montefiore.org initially, with a transition to a DSRIP-dedicated website over time.• Facebook posts that can drive people to information on online• New technologies and approaches as they emerge
The committee will also engage with the community face to face through:• 1 DSRIP-designated event in each region, organized in consultation with regional project advisory committees• Targeted meetings with:o County Health Commissionerso Community Boards, or similar entitieso Chambers of Commerceo Elected officials• Placing educational materials/DSRIP Ambassadors from the HVDC at strategically chosen health fairs & outreach events• Responding to additional requests for informational sessions, to the greatest extent possible.
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NYS DOH DSRIP_Project Design Grant Application Section 6 List of Vendors
List of Vendors
6.1)
1 Organization Name N/A 2 Organization NameAddress City State Zip Code Address City State Zip Code
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Please see challenges section for discussion of vendor needs
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Applicant must list contact information of any vendor they plan to contract with to assist in their DSRIP planning efforts. **The state maintains the right to approve any vendor used in the DSRIP program.**
Describe the vendor's
qualifications and how they will be
assisting the applicant in their planning efforts?
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Describe the vendor's
qualifications and how they will be
assisting the applicant in their planning efforts?
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qualifications and how they will be
assisting the applicant in their planning efforts?
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qualifications and how they will be
assisting the applicant in their planning efforts?
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Describe the vendor's
qualifications and how they will be
assisting the applicant in their planning efforts?
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qualifications and how they will be
assisting the applicant in their planning efforts?
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NYS DOH DSRIP_Project Design Grant Application Section 7 Design Grant Timeline
Design Grant Timeline7.1)
Date (MM/DD/YYYY) Action/Decision/Milestone6/30/2014 Action Accelerate collection of Community Health Needs Assessment (CHNA) supportive data6/30/2014 Action Identify and begin to analyze key metrics directly related to DSRIP performance measures
6/30/2014 Action
6/30/2014 Action
6/30/2014 Action
7/7/2014 Action7/28/2014 Action Begin engaging PAC participants in CHNA process
8/4/2014 ActionBegin to build inventory of in-progress programs aligned with initial project selection across PPS partnership
8/4/2014 Action8/4/2014 Action Begin current state assessment of care management capabilities and approaches across PPS
9/1/2014 ActionBegin to develop IT/EHR/HIE expansion plan in line with understood gaps and initiative-specific needs
10/3/2014 Milestone CHNA substantially complete across all PAC regions10/3/2014 Milestone Baseline understanding of current performance on key DSRIP performance measures established10/3/2014 Milestone In-progress program inventory substantially complete across PPS
10/3/2014 Milestone
10/6/2014 Action
10/6/2014 Action10/6/2014 Action Based on application released by New York State, begin drafting application10/6/2014 Action Begin development of multi-organizational coordinated care management approach
10/13/2014 Action
10/17/2014 Milestone
10/20/2014 Action
12/9/2014 MilestoneApplication substantially complete to ensure on-time submission; shared with PPS partners for feedback
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Description (Up to 1200 characters)
Continue to solidify regional PACs, ensuring broad participation of all provider types, CBOs, and workforce representatives; facilitate creation of working sub-committees to execute on PAC charges
Continue to assess PPS partnership for comprehensiveness of services and representation; continue outreach to engage new and existing partners
Accelerate assessment of current state of IT & HIE infrastructure required to support development of integrated delivery system and DSRIP performance reporting
Accelerate identification and engagement of key non-PPS partner stakeholders (e.g., government, community leaders, etc.), in concert with PPS partners
Begin to define, test and refine high level economic and funds flow models for performance period; determine allocation methodology (e.g., approach to allocating funds to regions and initiatives based on pre-established funding criteria)
Finalize governance structure, allowing time for substantial completion of PAC composition and new additions to PPS partnership
Validate project selection based on CHNA and DSRIP performance metric analysis; begin to identify specific initiatives to support revealed community needs aligned with projects
Begin detailed PPS partnership gap analysis to identify specific partnerships needed to successfully execute on identified initiatives
Accelerate assessment of workforce implications associated with identified initiatives and broader IDS changes
High level economic and funds flow models substantially complete to guide initiative specific business modeling
Begin defining clinical programs aligned with DSRIP initiatives; concurrently, frame high level business model associated with initiatives, to be refined as program details are determined
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NYS DOH DSRIP_Project Design Grant Application Section 7 Design Grant Timeline
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NYS DOH DSRIP_Project Design Grant Application Section 8 Data Request
Data Request
8.1) Please identify any additional data that would be helpful in completing your DSRIP Project Plan. For additional help, please see link below.
Type of Data Explanation of why this additional data will be helpful (Up to 1500 characters in each line)
Descriptive statistics of attributed population
To help us better understand the nature of the specific community we are targeting as a PPS, HVDC requests descriptive statistics about our attributed population, targeted by ZIP code. Specifically, we would be interested in knowing information like unique patient count, age distribution, gender, and ethnicity, all by ZIP code. We are also requesting attributed population-specific chronic disease rates, by ZIP code and, to the extent possible, the other descriptive statistics described. This information will help HVDC parse out the unique characteristics of the population we are serving, and help us ensure we are best capturing the needs of our population during our community health needs assessment process.
Descriptive statistics for Medicaid population in targeted counties
As a comparison set to the above, we are requesting the same information for the Medicaid population writ large, by ZIP code, in our target geographies. This will help us ensure that, should our population look radically different than the Medicaid population writ large for a region or sub-region, we are planning scope of services appropriately for potential increases in attribution over time.
Utilization data with blinded unique patient identifiers, consistent across databases
As a comparison set to the above, we are requesting the same information for the Medicaid population writ large, by ZIP code, in our target geographies. This will help us ensure that, should our population look radically different than the Medicaid population writ large for a region or sub-region, we are planning scope of services appropriately for potential increases in attribution over time.
Potentially Preventable Admission (both ED visit and Readmission) data with blinded unique patient identifiers, consistent across databases
For the purposes of this response, we will use Potentially Preventable Admissions (PPAs) generically to describe Potentially Preventable ED Visits (PPVs) and Readmissions (PPRs). Given the central importance placed on reducing potentially preventable admissions (PPAs), more detailed information about PPAs, the patients who are experiencing PPAs, the drivers of PPAs, and the utilization differences between patients who experience PPAs and those who do not, would be greatly beneficial for the HVDC. Specifically, we are interested in knowing information about the PPAs themselves (e.g., what are the DRGs and primary, secondary, and tertiary diagnoses associated PPAs?; to the extent that we are looking at a PPR, were those facts true for the index admission as well?). We are interested in utilization statistics 30-90 days prior to, and 30-90 days following each PPA.
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NYS DOH DSRIP_Project Design Grant Application Section 8 Data Request
Medicaid provider availability statistics
Patient descriptive statistics with blinded unique patient identifiers, consistent across databases
To help us better target our interventions to the specific communities experiencing PPAs or utilization inefficiencies, and to the extent that the State is able to deliver the above databases with unique patient identifiers, HVDC is requesting basic descriptive statistics about those patients using a consistent ID. For instance: age group, sex, ethnicity, and ZIP code.
We would request this information for both the attributed population and the Medicaid population writ large, to understand how our patient population differs from the general Medicaid population, for the reasons described above.
To help us understand provider shortages specific to the Medicaid population, HVDC is requesting provider counts, by provider type, MD specialty (where applicable), and ZIP code. This information could be pulled from Medicaid claims data, using the assumption that any unique provider submitting a bill for Medicaid services within, say, 12 months is available in that ZIP code for Medicaid patients.
Additionally, unique patient counts and Medicaid productivity statistics (e.g., number of unique visits) by provider type and ZIP code will help us understand the effective capacity for Medicaid patient visits by region and sub-region.
Claims & Encounter data for HDVC's attributed population
In addition to the summary statistics described above, access to the claims detail will allow HVDC to get a full and rich understanding of the patterns of health care utilization. With access to claims data, we would seek to engage additional vendors to calculate PPAs for ourselves. It would also allow us to link utilization patterns to less than ideal utilization results; for instance, we could analyze whether patients who seem to be 'loyal' to a primary care practice have lower PPA or PPR rates than other patients.
DSRIP performance measures for HVDC's attributed population
To assist us in setting baselines, we are requesting current state baseline information about our patient population, to the extent they are available in State databases, by patient ZIP code and/or County, and by the PPS member to whom the patient is attributed
Access to other state-wide databases for social determinants of health
Recognizing that many factors drive health care utilization and effectiveness, HVDC is requesting easily analyzable access to other state-wide databases, like those from the Department of Education (e.g., graduation rates, school-based health statistics, graduation rates), Department of Correctional Services (e.g., historical and projected release statistics), Department of Environmental Conservation (DEC Regional 3 Office) (e.g., air quality statistics, water quality information, etc.), Office of Temporary and Disability Assistance (e.g., homeless and housing services, SNAP benefits, etc.)
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NYS DOH DSRIP_Project Design Grant Application Section 8 Data Request
DSRIP Resources Link:See pages 87-92
https://www.health.ny.gov/health_care/medicaid/redesign/docs/waiver_amendment_update_present.pdf
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NYS DOH DSRIP_Project Design Grant Application Section 9 Design Grant Budget
Design Grant Budget9.1)
* Only include direct expenses related to developing your DSRIP Project Plan application.
Budget Cost Category Amount
Community Needs Assessment Costs:Contractors/Vendors $ 157,500 Data Analysis $ 138,750
Other:
Total Community Needs Assessment Costs: $ 296,250
Stakeholder Engagement Costs:AdvertisingWebsite Design $ 125,000 Meeting Costs $ 70,000
Other: Network Development $ 638,750
Total Stakeholder Engagement Costs: $ 833,750
Application Development Costs:Other: Grant Writing Support $ 118,125
Total Application Development Costs: $ 118,125
Other Category: Project Planning and Program Development:Program Design $ 1,306,250 Data Analysis $ 240,000
Total $ 1,546,250
Other Category: Project Staffing:Training and Education $ 118,125
Total $ 118,125
Grand Total $ 2,912,500
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NYS DOH DSRIP_Project Design Grant Application Section 9 Design Grant Budget
Capital Needs
9.2) Yes
If so, how much ? (Estimate): $ 150,000,000
If you selected 'Yes' or 'Maybe' in 9.2, please answer questions 9.3 and 9.4:
9.3)
Category Dollar Amount ($) Category Dollar Amount ($)Reorientation of Hospital Facilities $ 75,000,000 Expansion of Community-Based Care $ 50,000,000 Care Management / IT Infrastructure $ 25,000,000
9.4)
Does your emerging Performing Provider System anticipate needing capital funding to achieve the goals of your DSRIP Project Plan?
Please use the grid to state which types of costs the capital funds would be utilized for (e.g. construction, renovation) as well as approximately how much funding would be needed for each potential category.
Please describe which DSRIP projects these capital funds would be applied to and how the capital funds will help the emerging Performing Provider System achieve its project specific DSRIP objectives. (Restricted to 3500 characters)Facility modificationsEffectively integrating the delivery system and ensuring a high level of connectivity across services will necessitate modifications to existing facilities. Specifically, under projects 2.a.i (creating an integrated delivery system), and project 2.a.iv (developing a medical village), the HVDC will leverage capital dollars to reorient services at existing hospital facilities to better meet needs identified during the community health needs assessment process. Investments will focus on renovating hospital campuses and in some cases repurposing facilities to promote a healthy balance of care across the continuum, including both inpatient and ambulatory care. Estimates included in the HVDC’s capital budget reflect early initial estimates of potential square footage that will be renovated and standard costs per square foot.
Expansion of community-based care and other supportsDeveloping a sustainable delivery system where more care is delivered locally will require investments to build up community-based services. Capital investments will support the creation of new ambulatory care facilities, including primary care offices, as envisioned under the projects chosen in Domain Two. To implement Domain 3 projects, the HVDC will also need to create new physical facilities such as specialty care practices, call centers, and administrative centers (e.g. to support centralized analytics). The budget also includes resources for project 3.a.i, focused on integrating behavioral care and primary care, as co-location of these services will require some facility modifications in certain instances. Estimates included in the HVDC’s capital budget reflect early initial estimates regarding ambulatory care facility renovation cost, along with assumptions about resources involved in co-location, contact center, and administrative facility development. Lastly, to support project 3.a.ii, the HVDC will use capital funds to support crisis services as determined to be needed during planning, including but not limited to mobile crisis units, technology infrastructure, respite facilities, etc.
Care Management/IT supportsTo expand population health management activities across the region in support of all DSRIP projects, but particularly those in Domains 3 and 4, the HVDC will leverage capital dollars to invest in information technology. Specifically, the HVDC will invest in a care management software platform that allows for information exchange across providers and creates a centralized repository through which care managers can evaluate and monitor patient progress. HVDC will also use capital dollars to support electronic medical record enhancements that enable more effective care management and data centers to manage health information exchange. Finally, the HDVC also seeks support for telemedicine technology to support remote access to services and address service provider shortages in targeted communities. Estimates included in the capital budget reflect early initial assumptions about the cost of care management software, EMR enhancements, data centers, and telemedicine services.
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NYS DOH DSRIP_Project Design Grant Application Section 9 Design Grant Budget
Characters used: 3139
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
State of New York Department of Health
Delivery System Reform Incentive Payment (DSRIP) Program
** Please read instructions for ease of use **
1 2 3 4 5 6 7 8 9 10
Organization Name Address City State Zip Person Phone # Extension Email
1 Beacon Community Health Center Not listed 6 Henry Street Beacon NY 12508 Allison McGuire 914-734-8543 [email protected] Best Healthcare, Inc. Yes 22 Van Buren Drive, Ste. 102 NY 10950 [email protected] Bethel Long Term Home Health Care Program Yes 19 Narragansett Avenue Ossining NY 10562 Anastasios Markopoulos 914-739-6700 [email protected] Bethel Nursing and Rehabilitation Center Yes 67 Springvale Road Croton on HudsonNY 10520 Anastasios Markopoulos 914-739-6700 [email protected] Bethel Nursing Home Certified Home Health Agency Not listed 19 Narragansett Avenue Ossining NY 10520 Anastasios Markopoulos 914-739-6700 [email protected] Bethel Nursing Home Company Yes 17 Narragansett Avenue Ossining NY 10562 Anastasios Markopoulos 914-739-6700 [email protected] Bikur Cholim Inc. Not listed 60 Prospect Avenue Middletown NY 10940 Aron Reiner 845-425-7877 [email protected] Bikur Cholim, Inc Yes 25 Robert Pitt Drive, Suite 101 Monsey NY 10977 Aron Reiner 845-425-7877 [email protected] Blythedale Children's Hospital Yes 95 Bradhurst Valhalla NY 12533 John Canning 914-831-2412 [email protected]
10 Cabrini of Westchester - St. Cabrini Nursing Home - sub-acute/short term Yes 115 Broadway Dobbs Ferry NY 10522 Lorraine Horgan 914-693-6800 [email protected] Cabrini of Westchester - St. Cabrini Long Term Home Health Care Progra Yes 115 Broadway Dobbs Ferry NY 10522 Lorraine Horgan 914-693-6800 [email protected] Catskill Regional Medical Center Yes 68 Harris - Bushville Road Harris NY 12742 Jean-Paul Vallet 845-333-2360 [email protected] Children's Rehabilitation Center Yes 317 North Street White Plains NY 10605 Nancy Bullock 914-294-6303 [email protected] Community Medical and Dental Care, Inc. Yes 40 Robert Pitt Drive Monsey NY 10952 Mendel Hoffman 845-352-6800 [email protected] Community Medical and Dental, Inc. Yes 40 Robert Pitt Drive Monsey NY 10952 Mendel Hoffman 845-352-6800 [email protected] Dominican Sisters Family Health Service, Inc Yes 299 North Highland Avenue Ossining NY 10562 Mary J. Zagajeski 914-941-1710 [email protected] Dominican Sisters Family Health Service, Inc. Yes 299 North Highland Avenue Ossining NY 10562 Mary J. Zagajeski 914-941-1710 [email protected] Elant at Fishkill Long Term Home Health Care Program Yes 22 Robert Kasin Way Beacon NY 12508 Kathy Lozzino 845-360-1412 [email protected] Elant at Fishkill, Inc. Yes 22 Robert Kasin Way Beacon NY 12508 Kathy Lozzino 845-360-1412 [email protected] Elant at Goshen, Inc. Yes 46 Harriman Drive Goshen NY 10924 Kathy Lozzino 845-360-1412 [email protected] Elant at Newburgh, Inc. (d.b.a. Elant at Meadow Hill) Yes 172 Meadow Hll Road Newburgh NY 12550 Kathy Lozzino 845-360-1412 [email protected] Elant at Wappingers Falls Yes 37 Mesier Avenue Wappingers Falls NY 12590 Kathy Lozzino 845-360-1412 [email protected] ElderServe Certified Home Health Care Agency Not listed 530 West 166th St. New York NY 10032 David V. Pomeranz 718-581-1780 [email protected] Ezras Choilim Health Center, Inc. Yes 49 Forest Road Monroe NY 10950 Dan Ocasio [email protected] Ferncliff Nursin Home Company, Inc. Yes 21 Ferncliff Drive Rhinebeck NY 12572 Carl Kelly 845-876-2011 [email protected] Field Home Holy Comforter Yes 2300 Catherine St Courtlandt NY 10567 Judy Madden 914-739-2244 [email protected] Friedwald Center for Rehabilitation and Nursing, LLC. Yes 475 New Hempstead Road New City NY 10956 Avi Grossman 201-983-1218 [email protected] Glen Island Center for Nursing & Rehabilitation Yes 490 Pelham Rd New Rochelle NY 10805 Harry Wruble 914-636-2800 [email protected] Haverstraw Health Center Not listed 31 W Broad St Haverstraw NY 10927 Allison McGuire 914-734-8543 [email protected] Hebrew Home of Riverdale Not listed 5901 Palisade Ave Riverdale NY 10471 David Pomeranz 718-581-1780 [email protected]
2.1) Partner Organizations - Contact Information General Provider Types
Fill out this form for the specific provider types we have listed in columns L & M
For all "Other" provider types, use the 2nd tab - Section 2.2_Partner Org_"Other".
SN Qualified (Y/N)
Dr. Alan Wertzberger 845-783-2222
845-782-3242
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
31 Hebrew Hospital Home of Westchester Yes 61 grasslands Rd Valhalla NY 10595 Peter Sanna 914-681-8400 [email protected] Helen Hayes Hospital RHCF No 51 North Route 9W West Haverstraw NY 10993 Lori A. Meszler 845-786-4305 [email protected] Highland Rehabilitation and Nursing Center Yes 120 Highland Avenue Middletown NY 10940 Faith Levesque 845-342-1033 [email protected] Highland Rehabilitation and Nursing Center Yes 120 Highland Avenue Middletown NY 10940 Faith Levesque 845-342-1033 [email protected] HRHC - Mobile Dental Van Not listed 3360 Route 343 Amenia NY 12567 Allison McGuire 914-734-8543 [email protected] HRHCare at the Sharing Community Not listed 1 Hudson Street Yonkers NY 10701 Allison McGuire 914-734-8543 [email protected] Hudson River Health, Inc. Not listed 3174 Route 22 Dover Plains NY 12522 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare Not listed 1 Paradise Lane, suite 200 New Paltz NY 12561 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare - Goshen Not listed 888 Pulaski Highway Goshen NY 10924 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare - Spring Valley Not listed 2 Pearlman Drive Spring Valley NY 10977 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare Park Avenue Not listed 2 Park Avenue Yonkers NY 10703 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare Valentine Lane Not listed 503 South Broadway, suite 210 Yonkers NY 10705 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare, Inc Not listed 3360 Route 343 / PO Box 108 Amenia NY 12501 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare, Inc Not listed 34 Livingston Street Poughkeepsie NY 12601 Allison McGuire 914-734-8543 [email protected] Hudson River Healthcare, Inc. Not listed 19 Pilch Drive/ PO Box 527 Pine Plains NY 12567 Allison McGuire 914-734-8543 [email protected] Hudson Valley Mental Health, Inc Yes 47 West Market Street, Ste. 2 Rhinebeck NY 12572 Mark Sasvary 945-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Beacon Mental Health Clinic Yes 223 Main Street Beacon NY 12508 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Eastern Dutchess Mental Health CliniYes 7 Market Street, 1st & 2nd Floors Dover Plains NY 12522 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Ellenville Mental Health Clinic Yes Trudy Resnick Farber Ctr. - 50 Center Ellenville NY 12428 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Family Partnership Center Yes 29 No. Hamilton Street; 2nd Floor Poughkeepsie NY 12601 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Kingston Mental Health Clinic Yes 239 Golden Hill Lane Kingston NY 12401 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Millbrook Mental Health Clinic Yes 131 County House Road Millbrook NY 12545 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - New Paltz Mental Health Clinic Yes 137 North Chestnut Street, Ste. 2 New Paltz NY 12561 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Poughkeepsie Mental Health Clinic Yes 230 North Road Poughkeepsie NY 12601 Kevin Hazucha 845-486-2703 [email protected] Hudson Valley Mental Health, Inc. - Rhinebeck Mental Health Clinic Yes 47 West Market Street, Ste. 2 Rhinebeck NY 12572 Kevin Hazucha 845-486-2703 [email protected] Jawonio Inc Yes 260 N. Little Tor Rd New City NY 10956 Jill Warner 845-639-3605 [email protected] Jawonio Inc Yes 260 N. Little Tor Rd New City NY 10956 Jill Warner 845-639-3605 [email protected] Jewish Home Lifecare, Home Care Not listed 104 West 29th Street, 8th Floor New York NY 10463 Bridget Gallagher 212-870-4837 [email protected] Julia Dyckman Andrus Memorial Yes 1156 North Broadway Yonkers NY 10701 Kerron Norman 914-963-3700 [email protected] Kings Harbor Multicare Ctr Yes 2000 E Gunhill Rd Bronx NY 10463 Alex Stern 718-405-3555 [email protected] Kingsbridge Heights Rehab Ctr Yes 3400-26 Cannon Pl Bronx NY 10463 Fidelma Dolan 718-405-3555 [email protected] Living Independently for the Elderly Inc - Bethel Springvale Inn Not listed 62 Springvale Road Croton-on-HudsonNY 10520 Anastasios Markopoulos 914-739-6700 [email protected] Mental Health America of Dutchess Yes 253 Mansion Street Poughkeepsie NY 12601 Andrew O'Grady 845-473-2500 1303 [email protected] Michael Malotz Skilled Nursing Pavilion Yes 120 Odell Ave Yonkers NY 10701 Danielle Stanzione [email protected] Middletown Community Health Center Yes 21 Orchard Street, PO Box 987 Middletown NY 10940 Theresa Butler 845-343-7614 [email protected] Middletown Park Rehabilitation & Health Care Center Yes 121 Dunning Road Middletown NY 10940 Vincent Maniscalco 845-343-0801 [email protected] Middletown Park Rehabilitation Health Center Yes 121 Dunning Road Middletown NY 10940 Eileen Masterson 845-343-0801 [email protected] Montefiore Medical Center Home Care and Extended Services Not listed 1 Fordham Plaza Bronx NY 10458 Audre Bagnall 718-920-6728 [email protected] Montefiore Medical Center Long Term Home Health Care Program Yes 1 Fordham Plaza Bronx NY 10458 Audre Bagnall 718-920-6728 [email protected] Montefiore Mount Vernon Hospital Yes 12 N. 7th Avenue Mt. Vernon NY 10550 Jaccel Kouns [email protected] Montefiore Mount Vernon Methadone Maintenance Treatment ProgramNo 3 South Sixth Avenue Mt. Vernon NY 10550 Jaccel Kouns [email protected] Montefiore Mt. Vernon Hospital ACT Program No 3 South Sixth Avenue Mt. Vernon NY 10550 Jaccel Kouns [email protected] Montefiore New Rochelle Hospital Not listed 16 Guion Place New Rochelle NY 10801 Anthony Alfano [email protected] Montgomery Nursing & Rehabilitation Center Yes 2817 Albany Post Rd. Montgomery NY 12549 Lorraine Pflugler [email protected] Monticello Health Center Not listed 23 Lakewood Ave Monticello NY 12701 Allison McGuire 914-734-8543 [email protected] Northern Manor Geriatric Center Inc. Yes 199 N Middletown Road Nanuet NY 10954 Isaac Rubin 917-618-4869 [email protected] Northern Metropolitan Residential Health Care Facility Yes 225 Maple Avenue Monsey NY 10952 Isaac Rubin 917-618-4869 [email protected] Northern Riverview Health Care Center Yes 87 South Route 9W Gloversville NY 10927 Isaac Rubin 917-618-4869 [email protected] Nyack Hospital Yes 160 N. Midland Ave. Nyack NY 10960 David Freed 845-348-2132 [email protected] Nyack Manor Nursing home Yes 476 Christian Herald Road Valley Cottage NY 10989 Kelly Palladino [email protected] Orange County Department of Health Yes 30 Harriman Drive Goshen NY 10924 Christine Saccone [email protected] Orange County Department of Health Yes 124 Main Street Goshen NY 10924 Christine Saccone [email protected] Orange Regional Medical Center Yes 707 East Main St. Middletown NY 10940 Jean-Paul Vallet 845-333-2360 [email protected] Palisades Nursing home Yes 5901 Palisade Ave Riverdale NY 10463 David Pomeranz 718-581-1780 [email protected]
845-457-3155
845-268-6861 845-291-2332 845-291-2332
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
85 Pine Valley Center for Rehabilitation and Nursing Yes 661 North Main St Spring Valley NY 10977 Noah Kaminer 845-426-5600 [email protected] Poughkeepsie Community Health Center Not listed 29 North Hamilon Street Poughkeepsie NY 12601 Allison McGuire 914-734-8543 [email protected] Poughkeepsie Family Health Center Not listed One Webster Avenue Poughkeepsie NY 12601 Allison McGuire 914-734-8543 [email protected] Prime Home Health Services Yes 3125 Emmons Avenue Brooklyn NY 10463 Matt Lippitt 718-646-1900 mlippitt@primehealthchoice89 Ramapo Manor Center for Rehabilitation and Nursing Yes 30 Cragmere Road Airmont NY 10901 Bert Heinemann 718-869-6270 [email protected] Regency Extended Care Center Yes 65 Ashburton Ave Yonkers NY 10701 Alex Sajdak 914-963-4000 [email protected] Rockland County Health Dept.-Primary Care Yes 50 Sanatorium Road Pomona NY 10970 845-364-2512 [email protected] Rockland County LTACH Not listed 50 Sanatorium Road, Bldg A Pomona NY 10970 Donna Pauldine 845-364-2700 [email protected] Roscoe Regional Rehabilitation & Residental Healthcare Facility Yes 420 Rockland Road Roscoe NY 12776 Joy Wood 607-498-4121 [email protected] Sans Souci Rehabilitation & Nursing Not listed 115 Park Ave Yonkers NY 10703 Bert Heinemann 718-869-6270 [email protected] Schaffer Extended Care Center Not listed 16 Guion Place New Rochelle NY 10801 Anthony Alfano [email protected] Schervier Nursing Care Center Yes 2975 Independence Ave Bronx NY 10463 Kity Khundkar 718-548-1700 [email protected] Somers Manor Rehabilitation & Nursing Center Yes 189 Route 100 Somers NY 10589 Crystal Cordovano 914-373-6491 [email protected] Sprain Brook Manor Rehab LLC Yes 77 Jackson Ave. Scarsdale NY 10583 Amelia Mendizabal 914-472-3200 [email protected] St. John's Riverside Hospital Not listed 967 North Broadway Yonkers NY 10701 Danielle Stanzione [email protected]
100 ST. Luke's Cornwall Hospital Not listed 70 Dubois Street Newburgh NY 12550 Maureen Doran 845-784-3070 [email protected] St. Mary's Healthcare System for Children Not listed 29-01 216th Street Bayside NY 11360 Eddie Simpser 718-281-8777 [email protected] Extraordinary Home Care d/b/a St. Mary's Home Care Yes 5 Dakota Drive New Hyde Park NY 11042 Eddie Simpser 718-281-8777 [email protected] Student Assistance Services Corporation Yes 660 White Plains Road Tarrytown NY 10591 Ellen Morehouse 914-332-1300 [email protected] Sullivan County Public Health Services Not listed 50 Community Lane Liberty NY 12754 Nancy McGraw 845-292-5910 2179 [email protected] Sullivan County Public Health Services Not listed 50 Community Lane Liberty NY 12754 Nancy McGraw 845-292-5910 2179 [email protected] Terence Cardinal Cooke Health Care Center Yes 1249 Fifth Avenue New York NY 10029 Neil Pollack 212-360-3999 [email protected] Terrace Healthcare Center Not listed 2678 Kingsbridge Terrace Bronx NY 10463 Lowell Feldman 718-796-5800 [email protected] The Greater Hudson Valley Family Health Center, Inc. Not listed 2570 Route 9W Cornwall NY 12518 Jonnie Wesley-Krueger 845-220-3100 [email protected] The Greater Hudson Valley Family Health Center, Inc. Not listed 2570 Route 9W Cornwall NY 12518 Jonnie Wesley-Krueger 845-220-3100 [email protected] The Greater Hudson Valley Family Health Center, Inc. Not listed 2570 Route 9W Cornwall NY 12518 Jonnie Wesley-Krueger 845-220-3100 [email protected] The Guidance Center of Westchester Not listed 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Guidance Center of Westchester - CODC Yes 256 Washington St Mt. Vernon NY 10553 Amy Gelles 914-613-0700 [email protected] The Health Center, HRHCare Not listed 1037 Main Street Peekskill NY 10566 Allison McGuire 914-734-8543 [email protected] The Health Center, HRHCare Not listed 750 Union Sreet Hudson NY 12534 Allison McGuire 914-734-8543 [email protected] The Wartburg Home of the Evangelical Lutheran Church, Inc. Not listed One Wartburg Place Mt. Vernon NY 10552 Mark Hammond 914-513-5309 [email protected] The Wartburg Home of the Evangelical Lutheran Church, Inc. dba Wartb Not listed 56 Harrison Street New Rochelle NY 10801 Mark Hammond 914-513-5309 [email protected] The Wartburg Home of the Evangelical Lutheran Church, Inc. dba Wartb Not listed 56 Harrison Street New Rochelle NY 10801 Mark Hammond 914-513-5309 [email protected] United Hebrew Geriatric Center Not listed 391- Pelham Road New Rochelle NY 10805 Geri Brooks 914-632-2804 [email protected] United Hebrew of New Rochelle Certified Home Health Agency, Inc. Yes 40 Willow Drive New Rochelle NY 10805 Geri Brooks 914-632-2804 [email protected] United Hospice Not listed 11 Stokum Lane New City NY 10956 Amy Stern [email protected] Visiting Nurse Association of Hudson Valley no 1250 Broadway, 4th floor New York NY 10001 Rae Szymanski 914-666-7616 [email protected] Visiting Nurse Association of Hudson Valley no 540 White Plains Road Ste300 Tarrytown NY 10591 Rae Szymanski 914-666-7616 [email protected] Visiting Nurse Association of Hudson Valley no 540 White Plains Rd. Tarrytown NY 10591 Rae Szymanski 914-666-7616 [email protected] Visiting Nurse Service of New York Home Care YES 1250 Broadway, 4th floor New York NY 10001 Sarah Larson 212-609-7563 [email protected] Visiting Nurse Services in Westchester Not listed 360 Mamaroneck Avenue White Plains NY 10605 Mary Gadomski 914-682-1480 [email protected] Wallkill Valley Health Center Not listed 75 Orange Avenue Walden NY 12586 Allison McGuire 914-734-8543 [email protected] White Plains Hospital Not listed 41 East Post Road White Plains NY 10601 David Ho 914-681-2130 [email protected]
Ron Hansen
845-634-4974
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
139 WILLCARE Not listed 700 Corporate Blvd Newburgh NY 12550 Tami Siedler 845-561-3655 [email protected] William E. Shands Community Health Center Not listed 807 Main Street - Bohlman Tower Peekskill NY 10566 Allison McGuire 914-734-8543 [email protected] Wingate at Dutchess, Inc Not listed Fishkill NY 12524 Diane Judson 845-518-2683 [email protected] Wingate at St. Francis, LLC Not listed Beacon NY 12508 Diane Judson 845-518-2683 [email protected] Wingate of Ulster, Inc. Not listed 1 Wingate Way Highland NY 12528 Diane Judson 845-518-2683 [email protected] Yes 187 E. Market St. Rhinebeck NY 12572 Gus Tsoubris 845-452-5965 102 [email protected] Yes 358 Hoffman Rd. Pine Plains NY 12567 Gus Tsoubris 845-452-5965 102 [email protected] Yes 3731 State Rt. 199 Pine Plains NY 12567 Gus Tsoubris 845-452-5965 102 [email protected] Yes 41 Academy St. Pine Plains NY 12567 Gus Tsoubris 845-452-5965 102 [email protected] Yes 223 Main St. Beacon NY 12508 Gus Tsoubris 845-452-5965 102 [email protected] Yes 6423 Route 55 Wingdale NY 12594 Gus Tsoubris 845-452-5965 102 [email protected] Yes 46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris 845-452-5965 102 [email protected] Yes 50 Market St Poughkeepsie NY 12601 Gus Tsoubris 845-452-5965 102 [email protected] Yes 239 Golden Hill Kingston NY 12401 Gus Tsoubris 845-452-5965 102 [email protected] Yes 50 Center Street Ellenvile NY 12428 Gus Tsoubris 845-452-5965 102 [email protected] Yes 507 Broadway Kingston NY 12401 Gus Tsoubris 845-452-5965 102 [email protected] Yes 137 N. Chestnut St. New Paltz NY 12561 Gus Tsoubris 845-452-5965 102 [email protected] Yes 4252 Albany Post Rd. Hyde Park NY 12538 Gus Tsoubris 845-452-5965 102 [email protected] Jewish Home Lifecare, Harry and Jeanette Weinberg Campus, Bronx Yes 100 West Kingsbridge Road Bronx NY 10463 Regina Melly 212-870-4983 [email protected] Jewish Home Lifecare, Sarah Neuman Center, Westchester Yes 845 Palmer Avenue Mamaroneck NY 10463 Debbie Bobe 914-261-1664 [email protected] Mental Health Association Westchester - Rutherford Yes 30 Longview Ave, White Plains NY 10605 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - Mt Kisco Yes 344 Main St Mt. Kisco NY 10549 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - Crestview Yes 150 Old Saw Mill River Road Hawthorne NY 10532 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - SHAC Yes 25 Operations Drive Valhalla NY 10595 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - Hamilton Yes 300 Hamilton, Suite 201 White Plains NY 10601 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - Sterling Yes 29 Sterling Ave White Plains NY 10606 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - Yonkers Yes 20 South Broadway, Room 1109 Yonkers NY 10701 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - BOCES Yes 131 North Midland Ave Nyack NY 10960 Amy Kohn 914-345-5900 7501 [email protected] Mental Health Association Westchester - BOCES Haverstraw Yes 20 George St Haverstraw NY 10927 Amy Kohn 914-345-5900 7501 [email protected] Family Services of Westchester, Inc. Not listed One Gateway Plaza Port Chester NY 10573 Susan Wayne 914-305-6888 [email protected] Catholic Charities Community Services of Orange County Yes 101 Carpenter Place Monroe NY 10950 Dean Scher [email protected] Catholic Charities Community Services of Orange County Yes 224 Main Street Goshen NY 10924 Dean Scher [email protected] Catholic Charities Community Services of Orange County Yes 305 North Street Middletown NY 10940 Dean Scher [email protected] Catholic Charities Community Services of Orange County Yes 280 Broadway, Lower Level Newburgh NY 12550 Dean Scher [email protected] Catholic Charities Community Services of Orange County Yes 8 Scofield Street Walden NY 12586 Dean Scher [email protected] Catholic Charities Community Services of Orange County Yes 17 Sussex Street Port Jervis NY 12771 Dean Scher [email protected] Northern Dutchess Hosptial No 6511 Springbrook Avenue Rhinebeck NY 12572 David Ping 845-416-1558 [email protected] Health Quest Home Care No 1 Pine Street Spur Lower Level Poughkeepsie NY 12601 David Ping 845-416-1558 [email protected] Northern Dutchess Residential Care Facility (The Thompson House) No 6525 Springbrook Ave. Rhinebeck NY 12572 Linda Miele-Cavallaro 845-871-3709 [email protected] Vassar Brothers Medical Center No 45 Reade Place Poughkeepsie NY 12601 David Ping 845-416-1558 [email protected] Putnam Hospital Center No 670 Stoneleigh Avenue Carmel NY 10512 David Ping 845-416-1558 [email protected] Sutton Park Center for Nursing and Rehabilitation, LLC Yes 31 Lockwood Ave New Rochelle NY 10801 Avi Grossman 201-983-1218 [email protected] Putnam Operations Acquisition I, LLC YES 404 Ludingtonville Rd Holmes NY 12531 Deena Kaye, Administrator 845-878-3241 [email protected] Salem Hills Rehabilitation and Nursing Center YES 539 Rt 22 Purdys NY 10578 Patricia Mackin, Administrator 914-277-3626 202 [email protected] Waterview Hills Rehabilitation and Nursing Center YES 537 Rt 22 Purdys NY 10578 James Noonan, Administrator 914-277-3691 104 [email protected] Skyview Rehabilitation and Health Care, LLC YES 1280 Albany Posr Road Crton-On Hudson NY 10520 Steven Share, Administrator 914-271-5151 101 [email protected] Putnam Family & Community Services Yes 1808 Rt 6 Carmel NY 10512 Diane E. Russo 845-225-2700 127 [email protected] 186 Summit Park Hospital (LTACH) and Nursing Care Center Not listed Bldg A - 50 Sanatorium Road - RoberPomona NY 10970 Kity Khundkar 718-548-1700 [email protected] Gateway Community Industries, Inc. Yes 1 Amy Kay Parkway Kingston NY 12402 Francoise Dunefsky 845-331-1261 [email protected] Daughters of Jacob Nursing Home Company Inc. Yes 1160 Teller Ave Bronx NY 10456 Isaac Rubin 917-618-4869 [email protected] University Nursing Home Yes 2505 Grand Ave Bronx NY 10468 Isaac Rubin 917-618-4869 [email protected] Yes 1540 Tomlinson Avenue Bronx NY 10461 Isaac Rubin 917-618-4869 [email protected] Dutchess Center for Rehabilitation & Healthcare Yes 9 Reservoir Road Pawling NY 12564 Isaac Rubin 917-618-4869 [email protected] Port Chester Nursing and Rehabilitation Centre No 1000 High Street Port Chester NY 10573 Darrell Sokol 914-937-1200 [email protected]
3 Summit Court 10 Hastings Drive
Astor Services for Children & Families - Rhinebeck Satellite Astor Services for Children & Families - Pine Plains Satellite Astor Services for Children & Families - Pine Plains Satellite Astor Services for Children & Families - Pine Plains Satellite Astor Services for Children & Families - Beacon Counseling Center Astor Services for Children & Families - Dover Counseling Center Astor Services for Children & Families - Poughkeepsie Counseling Center Astor Services for Children & Families - Poughkeepsie Satellite Astor Services for Children & Families - Kingston Counseling Center Astor Services for Children & Families - Ellenville Counseling Center Astor Services for Children & Families - Kingston Satellite Astor Services for Children & Families - New Paltz Counseling Center Astor Services for Children & Families - Hyde Park Counseling Center
845-782-0295 845-782-0295 845-782-0295 845-782-0295 845-782-0295 845-782-0295
Williamsbridge Manor Nursing Home
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
193 Medical Arts Sanitarium, Inc. Yes 159-05 Union Turnpike Fresh Meadows NY 11366 Paul Creary 718-906-6700 [email protected] Search for Change, Inc. (Putnam Apartment Treatment Program) Not listed 155 Main Street Brewster NY 10509 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Larchmont Congregate Treatment Program) Not listed 1 Mayhew Avenue Larchmont NY 10538 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Mamaroneck Congregate Treatment Program) Not listed 108 Delancey Avenue Mamaroneck NY 10543 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Scarsdale Congregate Treatment Program) Not listed 1241 Post Road Scarsdale NY 10583 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Townhouse Congregate Treatment Program) Not listed 1 Balla Road Carmel NY 10512 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Westchester Apartment Treatment Program) Not listed 115 East Stevens Avenue (#203) Valhalla NY 10595 Ashley Brody 914-428-5600 [email protected] Search for Change, Inc. (Wyndover Woods Congregate Treatment PrograNot listed 9-12 Wyndover Woods Lane White Plains NY 10603 Ashley Brody 914-428-5600 [email protected] Community Counseling at Union Center Yes 16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Community Counseling at Family Counseling Newburgh Yes 21-23 Grand Street Newburgh NY 12550 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Personalized Recovery Oriented Services (PROS) at Union Center Yes 16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Personalized Recovery Oriented Services (PROS) at Squire Center Yes 67 Windsor Highway New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Personalized Recovery Oriented Services (PROS) at Rhinebeck Yes 47 West Market Street Rhinebeck NY 12572 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Personalized Recovery Oriented Services (PROS) at Millbrook Yes 131 County House Rd, Suite 101 Millbrook NY 12545 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Personalized Recovery Oriented Services (PROS) at Poughkeepsie Yes 26 Oakley Street Poughkeepsie NY 12601 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./ MSC - HVDDRO Yes 225 Dolson Avenue Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./ MSC - Taconic DDRO Yes 225 Dolson Avenue Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./ Community Hab Yes 225 Dolson Avenue Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./ SEMP Yes 225 Dolson Avenue Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations/Plan of Care Support Svcs Yes 225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Training - Fini Yes 15 Fini Drive Middletown NY 10941 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Training -Fortune Rd West Yes 15 Fortune Road West Middletown NY 10941 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Training - New Windsor Yes 67 Windsor Highway New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Hab - West Coxackie Yes 11877 Route 9W, Suite 3 West Coxackie NY 12192 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Hab - New Windsor Yes 67 Windsor Highway New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Hab - Scotchtown Yes 15 Fortune Road West Middletown NY 10941 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Occupations, Inc./Day Hab - Goshen Yes 2001 State Route 17M Goshen NY 10924 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Alia Court Yes 14 Alia Court Poughkeepsie NY 12601 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Birch Yes 26 Birch Dr Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Brola Yes 95 Brola Rd Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Crans (Last) Yes 33 Last Rd Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Fish and Game Yes 157 Fish and Game Road Hudson NY 12534 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Freetown Yes 61 Freetown Highway Plattekill NY 12589 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Gillespie (Apple Blossom) Yes 31 Apple Blossom Lane West Coxackie NY 12921 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Greenwood Yes 9 Greenwood Drive Coxackie NY 12501 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Hardenburgh Yes 148 Hardenburgh Road Ulster Park NY 12487 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Irving Yes 310 Irving Road Greenville NY 12803 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Jefwin Yes 12 Jefwin Drive Newburgh NY 12550 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Jones (Cedar Dr) Yes 3 Cedar Drive New Baltimore NY 12124 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Karen Ct Yes 6 Karen Court Newburgh NY 12550 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Kerilee Yes 14 Kerilee Court Pine Bush NY 12566 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Kirbytown Yes 77 Kirbytown Road Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Louise Yes 6 Louise Drive New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Malloy Yes 40 Malloy Rd Wallkill NY 12589 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Meadow Hill Yes 129 Meadow Hill Rd Newburgh NY 12550 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Moores Hill Yes 56 Moores Hill Road New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - North St Yes 31 North Street Pine Bush NY 12556 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Overhill Yes 100 Overhill Rd Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Seaman Yes 221 Seaman Rd Circleville NY 10919 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Shawangunk Yes 133 Shawangunk Road Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Starhaven Yes 28 Starhaven Ave Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA - Teal Yes 9 Teal Lane Pleasant Valley NY 12569 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA Supported Apts Yes 16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] IRA Supported Apts Yes 16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected]
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
247 IRA Supported Apts Yes 16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Family Empowerment Council/Connections Day Hab Yes 50 Enterprise Place Middletown NY 10941 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Family Empowerment Council/Connections Day Hab Yes 3141 Route 9W New Windsor NY 12553 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Family Empowerment Council/Plan of Care Support Services Yes 225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Family Empowerment Council/Family Education & Training Yes 225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Family Empowerment Council/Respite Services Yes 225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell 845-692-4454 7104 [email protected] Mental Health Association of Rockland County, Inc. Yes 140 Route 303 Valley Cottage NY 10989 Stephanie Madison 845-267-2172 325 [email protected] Dutchess County Department of Mental Hygiene Yes 230 North Road Poughkeepsie NY 12601 Margaret Hirst 845-486-3791 [email protected] Tarrytown Hall Care Center Yes 20 Wood Court Tarrytown NY 10591 Eric Fischbein 914-631-2600 [email protected] HONORehg Not listed 38 Seward Ave Middletown NY 10940 Christopher Molinelli 845-343-7115 [email protected] CenterLight Certified Home Health Agency Not listed 596 Prospect Place Brooklyn NY 11238 Paul Rosenfeld 718-519-4032 [email protected] Beth Abraham Health Services Yes 612 Allerton Avenue Bronx NY 10467 David Friedman 718-519-4022 [email protected] Center for Nursing and Rehabilitation Yes 520 Prospect Place Brooklyn NY 11238 David Friedman 718-519-4022 [email protected] Schnurmacher Center for Rehabilitation and Nursing Yes 12 Tibbits Avenue White Plains NY 10606 David Friedman 718-519-4022 [email protected] Margaret Tietz Nursing and Rehabilitation Center Yes 164-11 Chapin Parkway Jamaica NY 11432 David Friedman 718-519-4022 [email protected] Yes 1250 Waters Place Bronx NY 10461 David Friedman 718-519-4022 [email protected] Yes 2401 White Plains Road Bronx NY 10467 David Friedman 718-519-4022 [email protected] Yes 668 Allerton Avenue Bronx NY 10467 David Friedman 718-519-4022 [email protected] Yes 205 Rockaway Parkway Brooklyn NY 11212 David Friedman 718-519-4022 [email protected] Yes 2301-2331 Stillwell Avenue Brooklyn NY 11223 David Friedman 718-519-4022 [email protected] Yes 122-140 Bushwick Avenue Brooklyn NY 11206 David Friedman 718-519-4022 [email protected] Yes 11-40 Seneca Avenue Ridgewood NY 11385 David Friedman 718-519-4022 [email protected] Yes 13665 37th Avenue Flushing NY 11354 David Friedman 718-519-4022 [email protected] Yes 216 E 99th Street New York NY 10029 David Friedman 718-519-4022 [email protected] Yes 183 Chrystie Street New York NY 10002 David Friedman 718-519-4022 [email protected] Yes 375 Grand Street New York NY 10002 David Friedman 718-519-4022 [email protected] Yes 335 Old Tarrytown Road White Plains NY 10603 David Friedman 718-519-4022 [email protected] Yes 555 Albany Avenue Amityville NY 11701 David Friedman 718-519-4022 [email protected] CenterLight Certified Home Health Agency No 520 Prospect Place Brooklyn NY 11238 David Friedman 718-519-4022 [email protected] Cortlandt Healthcare Not listed 110 Oregon Rd Cortlandt Manor NY 10567 Bert Heinemann 718-869-6270 [email protected] West Ledge Rehabilitation & Nursing Not listed 2000 east Main St Peekskill NY 10566 Bert Heinemann 718-869-6270 [email protected] ST. JOSEPH'S HOSPITAL NURSING HOME OF YONKERS, NEW YORK, INC Not listed 127 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer 914-378-7506 [email protected] ST. JOSEPH'S HOSPITAL NURSING HOME OF YONKERS, NEW YORK, INC Not listed 81 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer 914-378-7506 [email protected] ST. JOSEPH'S HOSPITAL, YONKERS Not listed 127 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer 914-378-7506 [email protected] St. Josephs Hospital - St. Vincents Port Chester Halfway House Yes 275 North Street Harrison NY 10528 Michael Spicer 914-378-7506 [email protected] St. Josephs Hospital - St. Vincents Port Chester Alcohol/SA Yes 275 North street Harrison NY 10528 Michael Spicer 914-378-7506 [email protected] Achieve Rehab and Nursing Facility Yes 170 Lake Street Liberty NY 12754 Pinny Goldblatt 845-292-4200 [email protected] Alpine Home Health Care Yes 4260 Bronx Blvd Bronx NY 10466 Isaac Rubin 917-618-4869 [email protected] Amos & Sarah Holden Home Not listed 70 Dubois St, Rm FD 336 Newburg NY 12550 Olovia Forde 845-784-3041 [email protected] Andrus on Hudson Yes 185 Old Broadway Hastings on HudsoNY 10706 Betsy Biddle 914 478-3700 [email protected] ARC Health Resources of Rockland Yes 25 Hemlock Drive Congers NY 10920 Brenda Heidrich [email protected] Bronx Center for Rehabilitation & Health Care Yes 1010 Underhill Avenue Bronx NY 10472 Isaac Rubin 917-618-4869 [email protected] Bronx Center for Rehabilitation & Health Care Yes 1010 Underhill Avenue Bronx NY 10472 Isaac Rubin 917-618-4869 [email protected] St. Cabrini Certified Home Health Agency Not listed 115 Broadway Dobbs Ferry NY 10522 Lorraine Horgan 914-693-6800 [email protected] Campbell Hall Rehabilitation Center Yes 23 Kiernan Road Campbell Hall NY 10916 Aldo Troiani 845-294-8154 [email protected] Cardinal Health Partners IPA,LLC Not listed 115 Broadway Dobbs Ferry NY 10552 Joe Pofit 914-329-2203 [email protected] The Valley View Center for Nursing Care and Rehab Not listed PO Box 59 - Glenmere Cove Road Goshen NY 10924 Laurence LaDue 845-291-4700 [email protected] 294295296297298299300
Centerlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment CenterCenterlight Healthcare Diagnostic & Treatment Center
845-267-0110
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
733734735736737738739740741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777778779780781782783784785786
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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100010011002
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
19751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Assisted Living Facility OASAS (Article 32) Provider
OMH (Article 31) Provider
Critical Access Hospital (CAH) OPWDD (Article 16) provider
Public Hospital
Skilled Nursing Facility
Nursing Home
"OTHER" Providers - Fill out Section 2.2 11 12 13 15 16
Provider Type MMIS OPCERT NPI #1 NPI #2
Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Diagnostic & Treatment Center (Non FQHC) 3526202R 1609923671Long Term Home Health Care Provider 00931879 5905900L 1083612634Skilled Nursing Facility 01794949 5921301N 1013914878Certified Home Health Agency 00931879 5905602 1083612634Skilled Nursing Facility 00309242 5905303N 1386641140Federally Qualified Healthcare Center (FQHC) 00355931 3501201R 1225231699OMH (Article 31) Provider 02497721 7220110A 1386705119Voluntary Hospital (Non CAH, Non Sole Community Provider0274057 5957000H 1679573083Nursing Home 00313671 5925300N 1376523183Long Term Home Health Care Provider 863850 5925901L 1003017211Voluntary Hospital (Non CAH, Non Sole Community Provider00273978 563000HDiagnostic & Treatment Center (Non FQHC) 03217705 5902212R 1316279847Diagnostic & Treatment Center (Non FQHC) 001432975 4353204R 1972681484Diagnostic & Treatment Center (Non FQHC) 001432975 4353204R 1972681484Certified Home Health Agency 00321971 5905601 1821184839Long Term Home Health Care Provider 01136130 5905901L 1104902949Long Term Home Health Care Provider 00981571 1301903L 1083750467Skilled Nursing Facility 00308636 1355301N 1073659082Skilled Nursing Facility 00928721 3523302N 1376608679Skilled Nursing Facility 02182901 3522304N 1518022813Skilled Nursing Facility 00312529 1324302N 1235276981Certified Home Health Agency 01207950 7000610 1467435669Diagnostic & Treatment Center (Non FQHC) 01620680 3526201R 1063480218Nursing Home 02993951 1327300N 1083693576Skilled Nursing Facility 971908 5901302N 1083743181Nursing Home 4350305N 1225205057 1013334648Skilled Nursing Facility 1287892 5904318N 1386660884Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Skilled Nursing Facility 007347N 1205939667
Provider Type: ONLY choose from the following:
Certified Home Health Agency
Diagnostic & Treatment Center (Non FQHC)
Federally Qualified Healthcare Center (FQHC)
Long Term Home Health Care Provider
Sole Community Provider (SCP)
Voluntary Hospital (Non CAH, Non Sole Community Provider)
00892888'02510492
17109770121649251554
17503507991205093278
02004424'00312845
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Skilled Nursing Facility 5957302N 1437146487Nursing Home 02071070 4322300N 1538276530Nursing Home 02031517 3501302N 1780923391Skilled Nursing Facility 3501305N 1780923391Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Certified Home Health Agency 00473038 5901200R 1619969458OMH (Article 31) Provider 02769015 7547005A 1356393862OMH (Article 31) Provider 02769015 7547001A 1356393862OMH (Article 31) Provider 02769015 7547002A 1356393862OMH (Article 31) Provider 02769015 7547006B 1356393862OMH (Article 31) Provider 02769015 7547004B 1356393862OMH (Article 31) Provider 02769015 7547006A 1356393862OMH (Article 31) Provider 02769015 7547003A 1356393862OMH (Article 31) Provider 02769015 7547006C 1356393862Certified Home Health Agency 02769015 7547004A 1356393862OPWDD (Article 16) provider 02769015 7547005A 1356393862Diagnostic & Treatment Center (Non FQHC) 00392030 7197301 1235209065 - Medicare1861562696- Medicare Part BCertified Home Health Agency 1861562696 4350200R 1760826655 1417235946OMH (Article 31) Provider Not Available 7002659 1780936948Skilled Nursing Facility 355940 7257002-A 1285628552Skilled Nursing Facility 7000372N 1952395626Assisted Living Facility 1104968189OMH (Article 31) Provider 800-S-129 1689917148Nursing Home 02324885 7212024A 1023173820Federally Qualified Healthcare Center (FQHC) 02171933 5907316N 1013006139Skilled Nursing Facility 00355931 3501201R 1942621800Skilled Nursing Facility 00720989 3501304N 1205166816Certified Home Health Agency 00720989 3501304N 1205166816Long Term Home Health Care Provider 02998167 7000606 1265591168Voluntary Hospital (Non CAH, Non Sole Community Provider02998167 7000901L 1457406621OASAS (Article 32) Provider 00274117 5903001H 1992131320OMH (Article 31) Provider 00274117 C140411813 1992131320Voluntary Hospital (Non CAH, Non Sole Community Provider02375088 8175002A 1992131320Nursing Home 00274126 5904001H 1720414154Federally Qualified Healthcare Center (FQHC) 00311486 1972669364Nursing Home 00473038 5901200R 1619969458Nursing Home 4350304N 1457332892Nursing Home 4353301N 1184614398Voluntary Hospital (Non CAH, Non Sole Community Provider) 4321302N 1295726552Nursing Home 00243967 4324000H 1104808062 1538180559Certified Home Health Agency 00310816 4350302N 1730173808Certified Home Health Agency 1740227214 Port Jervis1295889806 Child & Family Clinic, NewburghVoluntary Hospital (Non CAH, Non Sole Community Provider) 3523901L 1598973596Skilled Nursing Facility 3523000H Acute 1609875772
35613023560301N
Psych 1245299726Rehab 1912968348
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Skilled Nursing Facility 7000347N 1013026863Federally Qualified Healthcare Center (FQHC) 00311082 4353303N 1184611758Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Certified Home Health Agency 00473038 5901200R 1619969458Skilled Nursing Facility 02915093 7001637 1588843650Nursing Home 1092997 4329301N 1033220199Diagnostic & Treatment Center (Non FQHC) 00312414 5907315N 123521368Skilled Nursing Facility 4353200R 1508128257Nursing Home 1538230875Skilled Nursing Facility 02997271 5262300N 1760597678Nursing Home 308714 5907317n 1336377324Skilled Nursing Facility 00314067 5904322N 1538595962Nursing Home 314269 7000315N 1164490421Nursing Home 5966300N 1730174624Voluntary Hospital (Non CAH, Non Sole Community Provider00308338 5910301N 1487917712Voluntary Hospital (Non CAH, Non Sole Community Provider00245501 5907001H 1578526695Skilled Nursing Facility 00273863 3522000H 1003923434Certified Home Health Agency 310985 7003300N 108387157OASAS (Article 32) Provider 3335971 2912601 1962728071Certified Home Health Agency 111200638Long Term Home Health Care Provider 3003165 5220601 1770639445OPWDD (Article 16) provider 966770 5220900L 1922009919Skilled Nursing Facility 03001829 7002345N 1215100458Federally Qualified Healthcare Center (FQHC) 7000378N 1780681874Federally Qualified Healthcare Center (FQHC) 00472931 3529200R 1689669079Federally Qualified Healthcare Center (FQHC) 00472931 3529200R 1689669079Diagnostic & Treatment Center (Non FQHC) 00472931 3529200R 1689669079OASAS (Article 32) Provider 00565848 C140211787 1861506974OMH (Article 31) Provider 00565848 C150211787 1861506974OMH (Article 31) Provider 00565848 6588100A 1861506974OMH (Article 31) Provider 00565848 6588100C 1861506974OMH (Article 31) Provider 00565848 6588100E 1861506974OMH (Article 31) Provider 00565848 6588100F 1861506974OMH (Article 31) Provider 00565848 6588100G 1861506974OMH (Article 31) Provider 00565848 6588100H 1861506974OMH (Article 31) Provider 00565848 6588100I 1861506974OMH (Article 31) Provider 00565848 6588100J 1861506974OMH (Article 31) Provider 00565848 6588100K 1861506974OMH (Article 31) Provider 00565848 6588102G 1861506974Federally Qualified Healthcare Center (FQHC) 00565848 1861506974Federally Qualified Healthcare Center (FQHC) 00473038 5901200R 1619969458Skilled Nursing Facility 00473038 5901200R 1619969458Long Term Home Health Care Provider 02994383 5903309N 1154471258Certified Home Health Agency 01177999 5903900L 1215089479Skilled Nursing Facility 01177999 5904601 1215089479Certified Home Health Agency 00310912 5904309N 1558342444Certified Home Health Agency Pending Pending 1396166955Certified Home Health Agency 01051101 1538166319Certified Home Health Agency 02996041 7002655 1528059805Certified Home Health Agency 1460342 9799L001 1154604882Certified Home Health Agency 00321980 5920600 1942208152Certified Home Health Agency 02996041 7002655 1528059805Federally Qualified Healthcare Center (FQHC) 00321999 5902606 1053311092Voluntary Hospital (Non CAH, Non Sole Community Provider00473038 5901200R 1619969458
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Certified Home Health Agency 00274222 NYH0221 1447255153 1598766164 (Radiation Therapy)Federally Qualified Healthcare Center (FQHC) 00337408 (Medicare3502601 1609926195Skilled Nursing Facility 00473038 5901200R 1619969458Skilled Nursing Facility 01617234 1320301NSkilled Nursing Facility 02148649OMH (Article 31) Provider 01739142 5556301N 1295722510OMH (Article 31) Provider 00542567 7211122G 1225009806OMH (Article 31) Provider 00542567 7211122E 1225009806OMH (Article 31) Provider 00542567 7211122C 1225009806OMH (Article 31) Provider 00542567 7211122D 1225009806OMH (Article 31) Provider 00542567 7211123A 1225009806OMH (Article 31) Provider 00542567 7211044A 1225009806OMH (Article 31) Provider 00542567 7211121A 1225009806OMH (Article 31) Provider 00542567 7211121L 1225009806OMH (Article 31) Provider 00542567 7211121L 1225009806OMH (Article 31) Provider 00542567 7211121P 1225009806OMH (Article 31) Provider 00542567 7211121R 1225009806OMH (Article 31) Provider 00542567 7211121Q 1225009806Skilled Nursing Facility 00542567 7211122G 1225009806Skilled Nursing Facility 7000317N 1912072208 ADHC - 14672526160OMH (Article 31) Provider 5909302N 1548335664 ADHC - 1457426579OMH (Article 31) Provider 2998103 6313431 1942306873OMH (Article 31) Provider 2998103 6313101A 1942306873OMH (Article 31) Provider 2998103 6313101C 1942306873OMH (Article 31) Provider 2998103 6313101D 1942306873OMH (Article 31) Provider 2998103 6313100A 1942306873OMH (Article 31) Provider 2998103 6313100D 1942306873OMH (Article 31) Provider 2998103 6313100E 1942306873OMH (Article 31) Provider 2998103 6313100F 1942306873OMH (Article 31) Provider 2998103 6313100G 1942306873OASAS (Article 32) Provider 2996927 6152100A 1699727941OASAS (Article 32) Provider 45020 1093875007OASAS (Article 32) Provider 45020 1093875007OASAS (Article 32) Provider 45020 1093875007OASAS (Article 32) Provider 45020 1093875007OASAS (Article 32) Provider 45020 1093875007Voluntary Hospital (Non CAH, Non Sole Community Provider 45020 1093875007Certified Home Health Agency 268300 1327000H 1124072715Skilled Nursing Facility 944761 1302604 1639175839Voluntary Hospital (Non CAH, Non Sole Community Provider314003 1327302N 1932182623Voluntary Hospital (Non CAH, Non Sole Community Provider273854 1302001H 1740233899Skilled Nursing Facility 258360 3950000H 1972557379Skilled Nursing Facility 311106 5904320N 1376788513Skilled Nursing Facility 00308356 3951301N 1588074322Skilled Nursing Facility 01032902 5960304N 1487712485Skilled Nursing Facility 00314287 5960303N 1063580272OASAS (Article 32) Provider 00310274 5921302N 1295724987Skilled Nursing Facility 2995857 151110952 1497737167OMH (Article 31) Provider 1487633954 1376647826Nursing Home 1154538205Nursing Home 7000342n 1720421019Nursing Home 7000337N 1811005010Nursing Home 7000379N 1912931833Skilled Nursing Facility 1322302N 1235127374
1154370682 1301301N 1750330296
SNF - 02096064ADHC - 00313942SNF - 02096124ADHC - 01957991
02739311 02739311 02739311 02739311 02739311 02739311
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
OASAS (Article 32) Provider 310072 5906303N 1588666796OMH (Article 31) Provider 273056 161011440/ 1506101639197551OMH (Article 31) Provider 01324845 6271444 1740329622OMH (Article 31) Provider 01324845 6271443 1740329622OMH (Article 31) Provider 01324845 6271440 1740329622OMH (Article 31) Provider 01324845 6271442 1740329622OMH (Article 31) Provider 01324845 6271445 1740329622OMH (Article 31) Provider 01324845 6271437 1740329622OMH (Article 31) Provider 01324845 6271435 1740329622OMH (Article 31) Provider 00275085 7205100A 1528174976OMH (Article 31) Provider 00275085 7205101A 1528174976OMH (Article 31) Provider 01324730 7205008A 1215122361OMH (Article 31) Provider 01324730 7205027A 1215122361OMH (Article 31) Provider 01324730 7205028A 1215122361OMH (Article 31) Provider 01324730 7205029A 1215122361OPWDD (Article 16) provider 01324730 7205030A 1215122361OPWDD (Article 16) provider 02003758 7205000 0OPWDD (Article 16) provider 02011874 7205000 0OPWDD (Article 16) provider 02693763 7205000 0OPWDD (Article 16) provider 02170203 7205000 0OPWDD (Article 16) provider 01984885 4031416 0OPWDD (Article 16) provider 02693763 7205400 0OPWDD (Article 16) provider 02693763 7205420 0OPWDD (Article 16) provider 02693763 7205421 0OPWDD (Article 16) provider 02693763 7205444 0OPWDD (Article 16) provider 02693763 7205650 0OPWDD (Article 16) provider 02693763 7205652 0OPWDD (Article 16) provider 02693763 7205653 0OPWDD (Article 16) provider 02248988 7205466 0OPWDD (Article 16) provider 02248988 7205463 0OPWDD (Article 16) provider 02248988 7205449 0OPWDD (Article 16) provider 02248988 7205448 0OPWDD (Article 16) provider 02248988 7205465 0OPWDD (Article 16) provider 02248988 7205446 0OPWDD (Article 16) provider 02248988 7205456 0OPWDD (Article 16) provider 02248988 7205443 0OPWDD (Article 16) provider 02248988 7205423 0OPWDD (Article 16) provider 02248988 7205454 0OPWDD (Article 16) provider 02248988 7205453 0OPWDD (Article 16) provider 02248988 7205455 0OPWDD (Article 16) provider 02248988 7205452 0OPWDD (Article 16) provider 02248988 7205460 0OPWDD (Article 16) provider 02248988 7205470 0OPWDD (Article 16) provider 02248988 7205457 0OPWDD (Article 16) provider 02248988 7205459 0OPWDD (Article 16) provider 02248988 7205464 0OPWDD (Article 16) provider 02248988 7205467 0OPWDD (Article 16) provider 02248988 7205445 0OPWDD (Article 16) provider 02248988 7205451 0OPWDD (Article 16) provider 02248988 7205461 0OPWDD (Article 16) provider 02248988 7205468 0OPWDD (Article 16) provider 02248988 7205462 0OPWDD (Article 16) provider 02248988 7205424 0OPWDD (Article 16) provider 02248979 7205440 0
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
OPWDD (Article 16) provider 02248979 7205441 0OPWDD (Article 16) provider 02248979 7205469 0OPWDD (Article 16) provider 02699416 8848651 0OPWDD (Article 16) provider 02699416 8848650 0OPWDD (Article 16) provider 02127851 2396416 0OPWDD (Article 16) provider 02127851 2396413 0OASAS (Article 32) Provider 02596069 2396235 0OASAS (Article 32) Provider 2995191 151010866 1326105446Skilled Nursing Facility 2997648 7210320;151210628 1841287190Long Term Home Health Care Provider 1247350 5911302n 1528230539Certified Home Health Agency 3533319 1881957678Skilled Nursing Facility N/A 7001639 1154669113Skilled Nursing Facility 00310756 7000308N 1710910369Skilled Nursing Facility 00312987 7001354N 1952334518Skilled Nursing Facility 1090835 5902314N 1699708255Diagnostic & Treatment Center (Non FQHC) 00309682 7003305N 1730182254Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Diagnostic & Treatment Center (Non FQHC) 1353222 7000245R 1043431349Certified Home Health Agency 1353222 7000245R 1043431349Skilled Nursing Facility 7001639 1154669113Skilled Nursing Facility 353764 5901307n 1538475603Skilled Nursing Facility 318007 5901306n 1184709305Long Term Home Health Care Provider 00314012 5907314N 1538268610Voluntary Hospital (Non CAH, Non Sole Community Provider00793531 5907902L 1366536658OASAS (Article 32) Provider 02999957 5907002H 1477640258OASAS (Article 32) Provider 141011739Nursing Home 03282226 E140611835 1679883037Certified Home Health Agency 5220303N 1861458036Certified Home Health Agency 7000609 1912179763Skilled Nursing Facility 9513L001 1841509817OPWDD (Article 16) provider 5926300N 1366459455Nursing Home 4350203R 1295970697Nursing Home 7000381N 1376650226Certified Home Health Agency 7000381N 1376650226Skilled Nursing Facility Pending 5925600 1003017211Long Term Home Health Care Provider 3357302N 1174510531Skilled Nursing Facility 473267 3523301N 1831147347
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
1 2
Organization Name
1 Azor Home Care Not listed2 Cabrini of Westchester - Msgr Terence Attridge Adult Day Health Center Not listed3 County of Sullivan, Department of Community Services Not listed4 Family Services of Westchester Yes5 Family Services of Westchester Not listed6 Family Services of Westchester Yes7 Family Services of Westchester Yes8 Family Services of Westchester Yes9 Family Services of Westchester Yes
10 Family Services of Westchester Yes11 Hospice Care in Westchester and Putnam Not listed12 Hospice of Orange & Sullivan Counties, Inc. Not listed13 Hudson River Healthcare, Inc dba, CommunityHealth Care Collaborative Yes14 Jawonio Inc Yes15 Jawonio Inc Yes16 Jewish Home Lifecare, Home Assistance Personnel Inc. (HAPI) Not listed17 Rockland Psychiatric Center Not listed18 Rockland Psychiatric Center - Dutchess Clinic Not listed19 Rockland Psychiatric Center - Middletown MH Clinic Not listed20 Rockland Psychiatric Center - Monticello MH Clinic Not listed21 Rockland Psychiatric Center - Mt. Vernon Service Center Not listed22 Rockland Psychiatric Center - Newburgh MH Clinic Not listed23 Rockland Psychiatric Center - Nyack Service Center Not listed24 Rockland Psychiatric Center - Orangeburg Service Center Not listed25 Rockland Psychiatric Center - Peekskill Service Center Not listed26 Rockland Psychiatric Center - Pine Grove Clinic Not listed27 Rockland Psychiatric Center - Putnam Clinic Not listed28 Rockland Psychiatric Center - White Plains Service Center Not listed29 Rockland Psychiatric Center - Yonkers Service Center Not listed30 St. Mary's Community Care Professionals Not listed31 The Council on Alcoholism & Drug Abuse of Sullivan County Not listed32 The Wartburg Residential Community, Inc. dba Wartburg Care at Home Not listed33 The Winifred Masterson Burke Rehabilitation Hospital Not listed
2.2) Partner Organizations - Contact Information"OTHER" Provider Types
SN Qualified (Y/N)
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
34 VNA Home Health Services no35 No36 No37 No38 No39 No40 No41 No42 No43 No44 No45 No46 No47 No48 No49 No50 No51 AdvantageCare Physicians, P.C Not listed52 American Heart Association Rockland County Not listed53 ArchCare Not listed54 Bethel Adult Day Care Not listed55 Cabrini of Westchester - Adult Day Health Care Program Not listed56 Cabrini of Westchester - Social Day Care Program Not listed57 Catholic Charities (Rockland County) Not listed58 Catskill-Hudson Area Health Education Consortium Not listed59 CBHS/HDSW Not listed60 Center for Safety and Change Not listed61 Childrens Health & Research Foundation, Inc. /Lower Hudson Valley Peri Not listed62 CHOICE of New Rochelle, Inc. Yes63 Cornerstone Medical Arts Center Hospital Not listed64 Dominican College Not listed65 Dumont Center for Rehabilitation Not listed66 Easter Seals, Port Jervis Not listed67 Eckerson Pediatric Asso. Clarkstown Pediatric Not listed68 Elizabeth Seton Pediatric Center Not listed69 Family Services of Westchester Not listed70 Family Services of Westchester Not listed71 Family Services of Westchester Not listed72 Family Services of Westchester Not listed73 Family Services of Westchester Not listed74 Family Services of Westchester Not listed75 Family Services of Westchester Not listed76 Family Services of Westchester Not listed77 Family Services of Westchester Not listed78 Family Services of Westchester Not listed79 Family Services of Westchester Not listed80 Food Bank of the Hudson Valley No81 Haverstraw Pediatrics Not listed82 Highland Medical, P.C. Not listed
Astor Services for Children & Families - Partial Hospitalization Astor Services for Children & Families - Home & Community Based Waiver Astor Services for Children & Families - Supportive Case Management Astor Services for Children & Families - Case Management Astor Services for Children & Families - Intensive Case Management Astor Services for Children & Families - CCSI Astor Services for Children & Families - Vocational Case Management Astor Services for Children & Families - Mobile Crisis Astor Services for Children & Families - Home based crisis interventions Astor Services for Children & Families - School Age Day Treatment Astor Services for Children & Families - Preschool Day Treatment Astor Services for Children & Families - Adolescent Day Treatment Astor Services for Children & Families - Adolescent DT Satellite Astor Services for Children & Families - Preadmission Screening Astor Services for Children & Families - Hard to Place (HTP) Astor Services for Children & Families - Residential Treatment Facility
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
83 Hospice, Inc. dba Hudson Valley Hospice No84 Hudson Valley Care Coalition Not listed85 Human Development Services of Westchester Not listed86 Independent Home Care, Inc. Not listed87 Independent Living, Inc. Not listed88 Jawonio, Inc. Not listed89 JCC Rockland Not listed90 JCC Rockland Not listed91 Jewish Home Lifecare, Manhattan Yes92 Maternal-Infant Services Network of Orange, Sullivan and Ulster Counties, No93 Meals on Wheels (including Day Program) No94 Mental Health Association Westchester - ACT Yes95 Mental Health Association in Orange Co., Inc. Not listed96 Mental Health Association Rockland County Not listed97 MMG - Cross County Not listed98 Multi County Community Development Corporation Not listed99 NAMI-FAMILYA of Rockland County, Inc. Not listed
100 NYS Perinatal Association Not listed101 Occupations, Inc. Yes102 Orange County Community College No103 Orange County Crisis Team/Occupations, Inc Not listed104 Orange County Department of Health Yes105 Orange County Department of Mental Health No106 Rehabilitation Support Services, Inc Not listed107 Rockland County Assn. for Learning Disabilities yes108 Rockland Mobile Care, Inc. Not listed109 Rockland Paramedic Services, Inc. yes110 Rockland Paramedics No111 Rockland Psychiatric Center - Dutchess ACT Team Not listed112 Rockland Psychiatric Center - Orange County ACT Team Not listed113 Schaffer Extended Care Center - Adult Day Care Program Not listed114 Special Victims Unit (Rockland) Not listed115 St. Christopher's Inn Yes116 St. Thomas Aquinas College No117 Sutton Park rehab Not listed118 Taconic Health Information Network and Community No119 The Greater Hudson Valley Health System Medical Group Not listed120 Walgreen's Well Transitions No121 Westchester Jewish Community Services Not listed122 WESTMED Practice Partners LLC Not listed123 YMCA of Yonkers DBA - Yonkers Family YMCA No124 Yonkers GuildCare-JGB Health Facilities Corp. No125 Health Quest Medical Practice No126 Health Quest Urgent Care No127 Summit Park Hospital - Rockland County Department of Mental Health Yes128 Rockland County District Attorney's Office No129 Rockland Children's Psychiatric Center Not listed130 Rockland Children's Psychiatric Center - Central Ulster Clinic Not listed131 Rockland Children's Psychiatric Center - Mt. Vernon Community Services Not listed
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
132 Rockland Children's Psychiatric Center - Orange Community Services Not listed133 Rockland Children's Psychiatric Center - Sullivan Community Services Not listed134 Rockland Children's Psychiatric Center - Orange Day Treatment Not listed135 Rockland Children's Psychiatric Center - Rockland Intensive Day TreatmenNot listed136 Rockland Children's Psychiatric Center - Sullivan Intensive Day Treatment Not listed137 Rockland Children's Psychiatric Center - Southern Westchester Intensive Not listed138 Rockland Children's Psychiatric Center - Yonkers Day Treatment Not listed139 Rockland Children's Psychiatric Center - Dutchess Intensive Day TreatmenNot listed140 Rockland Children's Psychiatric Center - Ulster Day Treatment Not listed141 Hudson Valley Cerebral Palsy Association Yes142 VNSNY Hospice and Palliative Care No143 Gateway Community Industries, Inc. - Gateway Manor Not listed144 Gateway Community Industries, Inc. - Beacon CR Not listed145 Gateway Community Industries, Inc. - W.J. Penrose CR Not listed146 Gateway Community Industries, Inc. - Rivertown Certified Apt Program Not listed147 Gateway Community Industries, Inc. - Ulster Co.Supported Housing Not listed148 Gateway Community Industries, Inc. - Dutchess Co.Supported Housing Not listed149 Gateway Community Industries, Inc. - Day Habilitation Program Not listed150 Gateway Community Industries, Inc. - Pre-Voc Not listed151 Gateway Community Industries, Inc. - Supervised IRA Not listed152 Gateway Community Industries, Inc. - OPWDD Supported Work Not listed153 Gateway Community Industries, Inc. - TBM-Workforce One Not listed154 Gateway Community Industries, Inc. - Medicaid Service Coordination Not listed155 All Pro Home & Health Care Services YES156 The Eliot at Erie Station YES157 Friendship ADC LLC Not listed158 Westchester Independent Living No159 Rockland County District Attorney's Office No160 Westchester Jewish Community Services - Oakside Elementary School Yes161 Westchester Jewish Community Services - Yonkers Family Mental Health CYes162 Westchester Jewish Community Services - DSS Satellite Clinic Yes163 Westchester Jewish Community Services - KICS School Clinic Satellite Yes164 Westchester Jewish Community Services - Hostos School Clinic Satellite Yes165 Westchester Jewish Community Services - HRHC Satellite Clinic Yes166 Westchester Jewish Community Services - Home Health Services Yes167 Brooks Avenue Community Residence Yes168 Occupations/Partners in Recovery Project Yes169 Occupations/Transitional Living Services Yes170 Occupations, Inc. /Medicaid Transportation Yes171 Occupations, Inc. /Care Management Yes172 Emergency Group Residence Yes173 Angola House Group Home (Girls) Yes174 Boys Group Home (Drake) Yes175 Family Empowerment Council/Care at Home Yes176 Family Empowerment Council/MSC Yes177 The Children's Village Yes178 RSS - Orange Non Medicaid Care Coordination Yes179 RSS - Transportation Yes180 RSS - Revonah Hill Community Residence Yes
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
181 RSS - RSS Sullivan County PROS Yes182 RSS - Pleasant Street Community Residence Yes183 RSS - Pleasant Manor Community Residence Yes184 RSS - Our House Community Residence Yes185 RSS - Osborne Hill CR Yes186 RSS - Orange Vocational Yes187 RSS - Health Home Care Management SD Yes188 RSS - Hamptonburgh Community Residence Yes189 RSS - Orange Apartment Program Yes190 RSS - Middletown Community Residence Yes191 RSS - Monhagen Ave Community Residence Yes192 RSS - Orange OMH Non Licensed Supported Housing Yes193 RSS - Orange Co. Flex Spending Yes194 RSS - Orange Case Management Service Dollars Yes195 RSS - Orange Flex Advocacy Services Yes196 RSS - Orange Co Children & Youth Case Management Yes197 RSS - Orange Children & Youth Recreation Yes198 RSS - Orange OMH Non Licensed Supported Housing Yes199 RSS - Sullivan Non-Medicaid Care Coordination Yes200 RSS - Abel House Yes201 RSS - Dutch Treat Café' Yes202 RSS - Dutchess Apartments Yes203 RSS - Dutchess Supported Housing Yes204 RSS - Dutchess Vocational Yes205 Westchester Care at Home, Inc. No206 RSS - Sullivan Adult Home Service Dollars Yes207 RSS - Sullivan Adult SCM Yes208 RSS - Sullivan Crisis Respite Yes209 RSS - Strawberry Road Community Residence Yes210 RSS - South Randolph Community Residence Yes211 RSS - Sleepy Hollow Community Residence Yes212 RSS - Sullivan MICA Yes213 RSS - Westchester Apartments Yes214 RSS - Ulster Apartments Yes215 RSS - Sullivan Peer Advocacy Yes216 RSS - Sullivan Recreation 2 Yes217 RSS - Washingtonville Community Resudence Yes218 RSS - Thornwood Community Residence Yes219 RSS - Sullivan Non Licensed Supported Housing Yes220 Bernstein House - Mental Health Association of Rockland County, Inc. No221 Mental Health Association of Rockland County, Inc. Yes222 Cornell House - Mental Health Association of Rockland County, Inc. No223 Nanuet House - Mental Health Association of Rockland County, Inc. No224 PROS - Mental Health Association of Rockland County, Inc. No225 Best Choice Home Health Care No226 Best Choice Home Health Care No227 CL Healthcare Inc No228 CL Healthcare Inc No229 CL Healthcare Inc No
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
230 CL Healthcare Inc No231 CL Healthcare Inc No232 CL Healthcare Inc No233 CL Healthcare Inc No234 CL Healthcare Inc No235 CL Healthcare Inc No236 CL Healthcare Inc No237 CL Healthcare Inc No238 CL Healthcare Inc No239 CL Healthcare Inc No240 CL Healthcare Inc No241 CL Healthcare Inc No242 CL Healthcare Inc No243 CL Healthcare Inc No244 CL Healthcare Inc No245 MVP Housing Development Fund Company Inc. No246 Park Housing Development Fund Company Inc. No247 Scheuer Gardens Limited Partnership No248 Scheuer Plaza Limited Partnership No249 CenterLight Healthcare Inc No250 SeniorCare Emergency Medical Services No251 SeniorRide No252 Westchester Public/Private Partnership for Aging Services Not listed253 ST. JOSEPH'S HOSPITAL NURSING HOME OF YONKERS, NEW YORK, INC Not listed254 ST. JOSEPH'S HOSPITAL, YONKERS Not listed255 ST.JOSEPH'S HOSPITAL, YONKERS Not listed256 ST. JOSEPH'S HOSPITAL, YONKERS Not listed257 ST. JOSEPH'S HOSPITAL, YONKERS Not listed258 ST. JOSEPH'S HOSPITAL, YONKERS Not listed259 ST. JOSEPH'S HOSPITAL, YONKERS Not listed260 St. Josephs Hospital - St. Vincents Care Coordination Yes261 St. Josephs Hospital- St. Vincents Inpatient Psych Yes262 St. Josephs Hospital - St. Vincents Inpatient Rehab Yes263 St. Josephs Hospital- St. Vincents Partial Hospital Yes264 St. Josephs Hospital- St. Vincents PROS Yes265 St. Josephs Hospital- St. Vincents MH Clinic Yes266 St. Josephs Hospital- St. Vincents Substance Abuse Clinic Yes267 St. Josephs Hospital- St. Vincents Maxwell Tuckahoe Alc/SA Yes268 St. Josephs Hospital- St. Vincents ACT Yes269 St. Josephs Hospital- St. Vincents ACT Risperdol Yes270 Mental Health Association in Ulster County, Inc. Yes271 Mental Health Association in Ulster County, Inc. Yes272 Mental Health Association in Ulster County, Inc. Yes273 Mental Health Association in Ulster County, Inc. Yes274 Mental Health Association in Ulster County, Inc. Yes275 Mental Health Association in Ulster County, Inc. Yes276 Mental Health Association in Ulster County, Inc. No277 Council of Senior Centers and Service of NYC, Inc. No278 Family Services of Westchester Not listed
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
279 Family Services of Westchester Not listed280 The Center for Discovery Not listed281 Cabrini of Westchester - Social Day Care Program Not listed282 Kaplan Family Hospice Not listed283 Keller Hospital (at West Point) Not listed284 People to People No285 Resource Medical (Arcwell Medical) Not listed286 Rockland County Department of Mental Health Not listed287 Living Independently for the Elderly Inc. - Bethel LHCSA Not listed288 The Center for Discovery, Inc. Yes289 Cabrini Care at Home, Licensed Home Care Services Agency Not listed290 Nathan Kline Institute for Psychiatric Research Not listed291 Horizon Family Medical Group No292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
3 4 5 6 7
Address City State Zip Person
40 Willow Drive New Rochelle NY 10805 Geri Brooks115 Broadway Dobbs Ferry NY 10522 Lorraine HorganPO Box 716 Liberty NY 12754 Joseph A. Todora1 Summit Avenue White Plains NY 10606 Susan Wayne20 South Broadway Yonkers NY 10701 Susan Wayne239 North Broadway Sleepy Hollow NY 10591 Susan Wayne78 Main Street Hastings on HudsoNY 10706 Susan Wayne9 West Prospect Street Mt. Vernon NY 10550 Susan Wayne55 South Main Street Portchester NY 10573 Susan Wayne507 Fifth Avenue Pelham NY 10803 Susan Wayne540 White Plains Road STE300 Tarrytown NY 10591 Rae Szymanski800 Stony Brook Ct. Newburgh NY 12550 Daniel Grady1037 Main Street Peekskill NY 10566 Allison McGuire260 N. Little Tor Rd New City NY 10956 Jill Warner260 N. Little Tor Rd New City NY 10956 Jill Warner2900 Exterior Street Bronx NY 10463 Bridget Gallagher140 Old Orangeburg Road Orangeburg NY 10962 Edward Herman26 Oakley Street Poughkeepsie NY 12601 Edward Herman45 Ashley Avenue Middletown NY 10940 Edward Herman20 Crystal Street Monticello NY 12701 Edward Herman100 E. 1st Street - 7th Flr Mt. Vernon NY 10550 Edward Herman280 Broadway-Suite 200 Newburgh NY 12550 Edward Herman18 Church Street Nyack NY 10960 Edward Herman140 Old Orangeburg Rd Orangeburg NY 10962 Edward Herman1040 Main Street Peekskill NY 10566 Edward Herman350 Washington Ave. Kingston NY 12401 Edward Herman1620 Route 22 Brewster NY 10509 Edward Herman79 East Post Road White Plains NY 10601 Edward Herman2 Park Avenue Yonkers NY 10703 Edward Herman91-31 Queens Boulevard, Suite 201 Elmhurst NY 11373 Eddie Simpser365 Broadway Monticello NY 12701 Aleta Gomez56 Harrison Street New Rochelle NY 10801 Mark Hammond785 Mamaroneck Ave. White Plains NY 10605 John Ryan
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
540 White Plains Road Ste300 Tarrytown NY 10591 Rae Szymanski205 South Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris46 Lincoln Ave. Poughkeepsie NY 12601 Gus Tsoubris205 South Ave. Poughkeepsie NY 12601 Gus Tsoubris205 South Ave. Poughkeepsie NY 12601 Gus Tsoubris15 Mt. Carmel Place Poughkeepsie NY 12601 Gus Tsoubris50 Delafield St. Poughkeepsie NY 12601 Gus Tsoubris900 Dutchess Turnpike Poughkeepsie NY 12603 Gus Tsoubris5 Boces Rd. Poughkeepsie NY 12601 Gus Tsoubris50 Market Street Poughkeepsie NY 12601 Gus Tsoubris6339 Mill Street Rhinebeck NY 12572 Sheila Doherty6339 Mill Street Rhinebeck NY 12572 Sheila Doherty9th Avenue New York NY 10001 William Gillespie257 Lafayette Ave, Ste 300 Suffern NY 10901 Chirumamilla Amala, M.D.1011 First Ave NY NY 10022 Karl Adler19 Narragansett Avenue Ossining NY 10562 Anastasios Markopoulos115 Broadway Dobbs Ferry NY 10522 Lorraine Horgan115 Broadway Dobbs Ferry NY 10522 Lorraine Horgan78 Hudson Avenue Haverstraw NY 10927589 State Route 299 Highland NY 12528 Kathy Reed
Amy Anderson-Winchell9 Johnsons Lane New City NY 10956 Elizabeth Santiago22 Saw Mill River Road, Third Floor, Hawthorne NY 10532 Cheryl Hunter-Grant420 North Ave. New Rochelle NY 10801 Guy Fessenden159-05 Union Turnpike Fresh Meadows NY 11366 Paul Creary470 Western Highway Orangeburg NY 10962 Maureen Creegan676 Pelham Road New Rochelle NY 10805 Tzvi Barax88 East Main Street Port Jervis NY 12771 Jessie Jones35 Smith Street Nanuet NY 10954 Maureen Fuchs300 Corporate Blvd. South Yonkers NY 10701 Nancy Bullock1 Summit Avenue White Plains NY 10606 Polly Kerrigan 32 Ridgeview White Plains NY 10606 Polly Kerrigan 14 Oakwood Avenue White Plains NY 10605 Polly Kerrigan 20 South Broadway Yonkers NY 10701 Polly Kerrigan 9 West Prospect Street Mt. Vernon NY 10550 Polly Kerrigan 56 Davis Avenue White Plains NY 10605 Polly Kerrigan 20 South Broadway Yonkers NY 10701 Polly Kerrigan 1 Summit Avenue White Plains NY 10606 Polly Kerrigan 95 Radio Circle Drive Mt. Kisco NY 10549 Polly Kerrigan 1 Summit Avenue White Plains NY 10606 Polly Kerrigan 1 Summit Avenue White Plains NY 10606 Polly Kerrigan 195 Hudson Street Cornwall on Huds NY 12520 Andrew Digsby
Haverstraw NY 10927 Dipak Banker160 N. Midland Ave. Nyack NY 10960 Michael Rader
Martha Robles
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
374 Violet Ave. Poughkeepsie NY 10463 Richard Trocino303 S. Broadway, Suite 420 Tarrytown NY 10591 Lena Johnson930 Mamaroneck Ave Mamaroneck NY 10543 Andrea Kocsis5 Washington Ter Newburgh NY 10463 Douglas Hovey5 Washington Ter Newburgh NY 10463 Douglas Hovey260 N. Little Tor Rd New City NY 10956 Jane Mullin250 W. Nyack Rd W. Nyack NY 10994 Eliza Millman450 W. Nyack Rd W. Nyack NY 10994 Eliza Millman120 West 106th Street New York NY 10463 Regina Melly10 Little Britain Rd Newburgh NY 12550 Caren Fairweather18 Seward Avenue Middletown NY 10940 Barbara Kohlhausen580 White Plains Road Tarrytown NY 10591 Amy Kohn73 James P Kelly Way Middletown NY 10940 Nadia Allen230 Ramapo Road Garnerville NY 10923 Stephanie Madison1010 Central Park Avenue Yonkers NY 10704 Audre Bagnall
NY 12477 Gerard LesczynskiPO Box 635 Orangeburg NY 10962 Rena Finkelstein457 State Street Binghamton NY 1390115 Fortune Road West Middletown NY 10941 Amy Anderson-Winchell115 South Street Middletown NY 10940 Madeline Torres Diaz15 Fortune Road West Middletown NY 10941 Amy Anderson-Winchell124 Main Street Goshen NY 10924 Christine Saccone30 Harriman Drive Goshen NY 10924 Darcie Miller
NY 10924 Nolly Climes2 Crosfield Ave West Nyack NY 10994 Christine Reinhard540 Chestnut Ridge Road Chestnut Ridge NY 10977540 Chestnut Ridge Road Chestnut Ridge NY 10977540 Chestnut Ridge Road Chestnut Ridge NY 1097710 Ross Circle Poughkeepsie NY 12601 Edward Herman45 Ashley Avenue Middletown NY 10940 Edward Herman16 Guion Place New Rochelle NY 10801 Audre Bagnall1 South Main Street, Suite 500 New City NY 10956 Jennifer Pratt21 Franciscan Way Garrison NY 10524 Marianne Taylor-Rhoades125 Route 340 Sparkill NY 10976 Robert Murray
Sophia SuttonSusan Stuard
707 East Main St Middletown NY 10940 Jerry Dunlavey Mark De Jongh
Alan Trager2700 Westchester Avenue Purchase NY 10510 Simeon A. Schwartz17 Riverdale Avenue Yonkers NY 10701 Shawyn Patterson Howard4 Executive Plaza Suite 175 Yonkers NY 10701 Joan Clark1351 Route 55 LaGrangeville NY 12540 David Ping1351 Route 55 LaGrangeville NY 12540 David Ping50 Sanatorium Road, Bldg. F Pomona NY 10970 Michael Leitzes1 S. Main St 5th Fl New City NY 10956 Judy Rosenthal140 Old Orangeburg Road Orangeburg NY 10962 Christopher TavellaRoute 9W, PO Box 1176 Port Ewen NY 12466 Susan Seidman, PhD350 Gramatan Avenue Mt. Vernon NY 10552 Susan Seidman, PhD
Ray Florida Ray Florida Ray Florida
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
53 Gibson Road Goshen NY 10924 Susan Seidman, PhD125 Buckley Street Liberty NY 12754 Susan Seidman, PhD53 Gibson Road Goshen NY 10924 Susan Seidman, PhD65 Parrott Road West Nyack NY 10994 Susan Seidman, PhD125 Buckley Street Liberty NY 12754 Susan Seidman, PhD1606 Old Orchard Street White Plains NY 10604 Susan Seidman, PhD160 Bolmer Avenue Yonkers NY 10703 Susan Seidman, PhD900 Dutchess Turnpike Poughkeepsie NY 12603 Susan Seidman, PhD134 Main Street Saugerties NY 12477 Susan Seidman, PhD40 Jon Barrett Road Patterson NY 12563 Howard Yager1250 Broadway, 4th floor New York NY 10001 William Gillespie
New Paltz NY Francoise DunefskyBeacon NY Francoise DunefskyRosendale NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise DunefskyPoughkeepsie NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise DunefskyKingston NY Francoise Dunefsky
230 N. Main St. Spring Valley NY 10977 Gregg Rosen12 John Street Middletown NY 10940 Angela Holzapfel232 N. Main Street Spring Valley NY 10977 Jean Campbell200 Hamilton Avenue White Plains NY 10601 Tamaris Princi1 S. Main St 5th Fl New City NY 10956 Judy Rosenthal200 Decatur Street Peekskill NY 10566 Patricia Lemp487 South Broadway Yonkers NY 10705 Patricia Lemp131 Warburton Avenue Yonkers NY 10701 Patricia LempMLK School, 135 Locust Hill Ave Yonkers NY 10701 Patricia LempHostos School, 75 Morris Street Yonkers NY 10705 Patricia Lemp503 South Broadway Yonkers NY 10705 Patricia Lemp845 North Broadway White Plains NY 10603 Sheila Rabideau131-133 Brooks Ave Monroe NY 10950 Amy Anderson-Winchell16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell16-24 Union Street Middletown NY 10940 Amy Anderson-Winchell15 Fini Drive Middletown NY 10941 Amy Anderson-Winchell225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell 87 Little Britain Road Newburgh NY 12550 Amy Anderson-Winchell1 Angola Road Cornwall NY 12518 Amy Anderson-Winchell4 Maple Court Washingtonville NY 10992 Amy Anderson-Winchell225 Dolson Ave Middletown NY 10940 Amy Anderson-Winchell225 Dolson Ave Middletown NY 10940 Amy Anderson-WinchellOne Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller126 Revonah Hill Road Liberty NY 12754 Susan Miller
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
20 Crystal Street Monticello NY 12701 Susan Miller 81 Pleasant Street Extension Monticello NY 12701 Susan Miller1891 East Main Street Mohegan Lake NY 10547 Gerard Lesczynski7187 Albany Post Road Rhinebeck NY 12572 Gerard Lesczynski131 Osborne Hill Road Fishkill NY 12524 Gerard Lesczynski22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller89 Hill Road Goshen NY 10924 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller180 Seward Ave, Bldg 20 Middletown NY 10940 Susan Miller179 Monhagen Ave, Building 44 Middletown NY 10940 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller11 Overvaugh Street Saugerties NY 12477 Gerard Lesczynski11 Twin Maples Plaza, Suite 5 Saugerties NY 12477 Gerard Lesczynski11 Twin Maples Plaza, Suite 5 Saugerties NY 12477 Gerard Lesczynski11 Twin Maples Plaza, Suite 5 Saugerties NY 12477 Gerard Lesczynski11 Twin Maples Plaza, Suite 5 Saugerties NY 12477 Gerard Lesczynski360 Mamaroneck Avenue White Plains NY 10605 Mary Gadomski22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller1891 East Main Street Mohegan Lake NY 10547 Gerard Lesczynski100 South Randolph Avenue Poughkeepsie NY 12601 Gerard Lesczynski1891 East Main Street Mohegan Lake NY 10547 Gerard Lesczynski22 Crystal Street Monticello NY 12701 Susan Miller1891 East Main Street Mohegan Lake NY 10547 Gerard Lesczynski11 Twin Maples Plaza, Suite 4 Saugerties NY 12477 Gerard Lesczynski22 Crystal Street Monticello NY 12701 Susan Miller22 Crystal Street Monticello NY 12701 Susan Miller83 West Main Street Washingtonville NY 10992 Susan Miller1891 East Main Street Mohegan Lake NY 10547 Gerard Lesczynski22 Crystal Street Monticello NY 12701 Susan Miller228 Ramapo Road Garnerville NY 10923 Stephanie Madison140 Route 303 Valley Cottage NY 10989 Stephanie Madison6 Tara Drive Pomona NY 10970 Stephanie Madison357 Middletown Road Nanuet NY 10954 Stephanie Madison140 Route 303 Valley Cottage NY 10989 Stephanie Madison596 Prospect Place Brooklyn NY 11238 David Friedman2275 Olinville Avenue Bronx NY 10467 David Friedman122-138 Bushwick Avenue Brooklyn NY 11206 David Friedman2331 Stillwell Avenue Brooklyn NY 11223 David Friedman5506 Church Avenue Brooklyn NY 11203 David Friedman
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
205 Rockaway Parkway Brooklyn NY 11212 David Friedman11-40 Seneca Avenue Ridgewood NY 11385 David Friedman13665 37th Avenue Flushing NY 11354 David Friedman555 Albany Avenue Amityville NY 11701 David Friedman335 Old Tarrytown Road White Plains NY 10603 David Friedman1106 Bay Street Staten Island NY 10305 David Friedman1920 Amsterdam Avenue New York NY 10032 David Friedman216 East 99th Street New York NY 10029 David Friedman323 East 33rd Street New York NY 10016 David Friedman183 Chrystie Street New York NY 10016 David Friedman375 Grand Street New York NY 10002 David Friedman612 Allerton Avenue Bronx NY 10464 David Friedman668 Allerton Avenue Bronx NY 10467 David Friedman2401 White Plains Road Bronx NY 10467 David Friedman1250 Waters Place Bronx NY 10461 David Friedman2260 Barker Avenue Bronx NY 10467 David Friedman2275 Olinville Avenue Bronx NY 10467 David Friedman2540 Barker Avenue Bronx NY 10467 David Friedman2505 Barker Avenue Bronx NY 10467 David Friedman1250 Waters Place Bronx NY 10461 David Friedman700 Havemeyer Ave Bronx NY 10473 Mark Furman700 Havemeyer Ave Bronx NY 10473 Mark Furman9 South First Ave. Mount Vernon New York 10550 Colette Phipps81 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer317 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer317 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer317 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer127 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer127 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer127 SOUTH BROADWAY YONKERS NY 10701 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael Spicer275 North Street Harrison NY 10528 Michael SpicerP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen PendegarP.O. Box 2304 Kingston NY 12402 Ellen Pendegar49 west 45th Street New York NY 1003615 Maple Place Ossining NY 10562 Susan Wayne
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
15 Maple Place Ossining NY 10562 Susan WayneP.O. Box 840 Harris NY 12742 Karen Brady115 Broadway Dobbs Ferry NY 10522 Lorraine HorganOne Sunrise Lane Newburgh NY 12550 Daniel Grady900 WASHINGTON RD West Point NY 10996 Jennifer Lamitee121 West Nyack Road Nanuet NY 10954 Diane Senatore 250 West 49th street New York NY 10019 Stuart Weger50 Sanatorium Road Pomona NY 10970 Michael Lietzes19 Narragansett Avenue Ossining NY 10562 Anastasios MarkopoulosBox 840/Benmosche Rd. Harris NY 12742 Charlotte Ostman220 East 19th Street, Lower Level New York NY 10003 Lorraine Horgan140 Old Orangeburg Road Orangeburg NY 10962 Joshua Kantrowitz4 Coates Drive Goshen NY 10924 Jim Olver
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
8 9 10 11
Phone # Extension Email "OTHER"- Provider Type
914-632-2804 [email protected] Licensed Home Healthcare Agency914-693-6800 [email protected] Adult Day Health Care Program845-292-8770 [email protected] New York State Office of Mental Health914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-305-6888 [email protected] OMH licensed clinic914-666-7616 [email protected] Certified Hospice845-561-6111 [email protected] Hospice914-734-8543 [email protected] Health Home Lead Agency845-639-3605 [email protected] Article 28 Clinic845-639-3605 [email protected] Behavioral Health Program - PROS212-870-4837 [email protected] Licensed Home Care Services Agency 845-680-8308 [email protected] State Operated Psychiatric Center845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic845-680-8308 [email protected] State Operated Mental Health Clinic718-281-8777 [email protected] LHCSA - Licensed Home Care Service Agency845-794-8080 [email protected] Alcohol/Substance Abuse Treatment Facility914-513-5309 [email protected] LHCSA - Licensed Home Care Service Agency914-597-2232 [email protected] New York State Article 28 Hospital
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
914-666-7616 [email protected] LHHCSA845-452-5965 102 [email protected] partial hospital for adolescents845-452-5965 102 [email protected] OMH Waiver program for children and youth845-452-5965 102 [email protected] supportive casemanagement for children and youth845-452-5965 102 [email protected] case management845-452-5965 102 [email protected] intensive case management for children845-452-5965 102 [email protected] systems building and family driven care planning for kids at risk of residential placement845-452-5965 102 [email protected] voacational case management for adolescents845-452-5965 102 [email protected] mobile crisis services845-452-5965 102 [email protected] short home based crisis interverntion program for kids at imminent risk of hospitalization845-452-5965 102 [email protected] OMH licensed day treatment programs845-452-5965 102 [email protected] OMH licensed day treatment programs845-452-5965 102 [email protected] OMH licensed day treatment programs845-452-5965 102 [email protected] OMH licensed day treatment programs845-452-5965 102 [email protected] forensic evalutions845-871-1024 [email protected] OCFS licensed residential placement for children 845-871-1024 [email protected] residential treatment facility for children 5-12646-447-5797 [email protected] Physician Group
212-371-1011 [email protected] [email protected] Day Program914-693-6800 [email protected] Adult Day Health Care Program914-693-6800 [email protected] Social Day Care Program
[email protected] Social Services Support845-883-7260 [email protected] Workforce Development845-692-4454 7104 [email protected] Shelter914-922-2240 [email protected] Community Perinatal Public Health Program 914-576-0173 [email protected] Peer/TCM/CMA718-906-6700 [email protected] Substance Abuse Services845-848-6027 [email protected] 702 [email protected] [email protected] [email protected] Physician Group914-294-6303 [email protected] Pediatric Nursing Facility914-872-5251 [email protected] Youth Forum/peer support for transition aging out youth914-872-5251 [email protected] Adult Home for SMI adults914-872-5251 [email protected] Boys Group Home914-872-5251 [email protected] case management with incarcerated and recently released males914-872-5251 [email protected] Elder Abuse Prevention914-872-5251 [email protected] Girls Group Home914-872-5251 [email protected] HIV/Aids related caremanagement services914-872-5251 [email protected] Home based crisis response and prevention for very young children914-872-5251 [email protected] Social Adult Day Services914-872-5251 [email protected] Therapeutic Foster Care914-872-5251 [email protected] Therapeutic respite services for youth and families 845-534-5344 [email protected] Bank of the Hudson Valley845-429-3382 [email protected] Physician Group845-348-2198 [email protected] Professional Corporation (captive PC)
845-942-5791
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
845-473-2273 [email protected] Voluntary, NFP Corp.914-372-2245 [email protected] 1012 [email protected] Health Home Care Management Provider, 1915i Pro845-565-1162 [email protected] [email protected] [email protected] Consumer Driven Personal Services Prograsm (Home Care)845 362-4400 [email protected] Community Center845 362-4400 [email protected] Community Center212-870-4983 [email protected] Adult Day Health Care845-368-0330 [email protected] Community Based Organization845-624-6325 [email protected] 7501 [email protected] OMH Article 31 Provider845-342-2400 [email protected] 325 [email protected] [email protected] Private Practice845-247-9110 [email protected] Housing (OMH, OPWDD, HUD)845-359-8785 [email protected]
[email protected] 104 [email protected]
[email protected] Workforce Development845-692-4454 104 [email protected]
[email protected]@orangecountygov.com
845-615-9019 [email protected] [email protected] Intellectual and Developmental Disabilities
[email protected] Emergency Medical Services [email protected] Advanced Life Support First Response Service (Paramedic Service)[email protected] EMS and Mobile Outreach
845-680-8308 [email protected] State Operated ACT845-680-8308 [email protected] State Operated ACT718-920-6728 [email protected] Adult Day Health Care
[email protected] 845 335-1017 [email protected] Use Disorder Treatment Program with S845-398-4100 [email protected] Workforce Development914-576-0600 [email protected]
[email protected] [email protected] Physician Group860-767-4951 [email protected] Pharmacy Bedside support and follow-up914-848-8100 [email protected] [email protected] Health Care Management Services Company914-963-0183 [email protected] Non Profit Preventive Health / Community Recreation914-220-8591 clarkj@lighthouseguildinternational Adult Day Health Care Program845-416-1558 [email protected] Other845-416-1558 [email protected] Other
[email protected] Behavioral Health (Outpatient Mental Health Clinic)845-638-5683 [email protected] Alternatives to Incarceration programs (not direct care)845-680-4040 [email protected] State Operated Psychiatric Center845-680-4047 [email protected] State Operated Mental Health Clinic845-680-4047 [email protected] State Operated Mental Health Clinic
877-268-5072
845-344-6222
845-291-2332 845-291-2600
845-627-8613 845-627-8613 845-627-8613
845-638-5001
845-364-2625
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
845-680-4047 [email protected] State Operated Mental Health Clinic845-680-4047 [email protected] State Operated Mental Health Clinic845-680-4047 [email protected] State Operated Day Treatment Program845-680-4047 [email protected] State Operated Day Treatment Program845-680-4047 [email protected] State Operated Day Treatment Program845-680-4047 [email protected] State Operated Day Treatment Program845-680-4047 [email protected] State Operated Day Treatment Progam845-680-4047 [email protected] State Operated Day Treatment Program845-680-4047 [email protected] State Operated Day Treatment Program845-878-9078 [email protected] Article 28 D&T Clinic646-447-5797 [email protected] hospice845-331-1261 [email protected] Community Residence845-331-1261 [email protected] Community Residence845-331-1261 [email protected] Community Residence845-331-1261 [email protected] Treatment Apartments845-331-1261 [email protected] Residential Habilitation845-331-1261 [email protected] Residential Habilitation845-331-1261 [email protected] Day Habilitation Program845-331-1261 [email protected] Prevocational Counseling845-331-1261 [email protected] OPWDD Supervised IRA845-331-1261 [email protected] OPWDD Supported Work845-331-1261 [email protected] Transitional Business Model845-331-1261 [email protected] Waiver Case Management845-363-8168 221 [email protected] LHCSA845-342-2077 [email protected] LHCSA845-262-1520 101 [email protected] Social Model Day Center914-682-3926 2114 [email protected] SCP845-638-5683 [email protected] 207 [email protected] OMH Article 31914-761-0600 207 [email protected] OMH Article 31914-761-0600 207 [email protected] OMH Article 31914-761-0600 207 [email protected] OMH Article 31914-761-0600 207 [email protected] OMH Article 31914-761-0600 207 [email protected] OMH Article 31914-761-0600 312 [email protected] LHCSA - DOH Article 31845-692-4454 7104 [email protected] OMH Community Residence for Adults - Congreg845-692-4454 7104 [email protected] OMH Community Residence for Adults - Apartme845-692-4454 7104 [email protected] OMH Community Residence for Adults - Apartme845-692-4454 7104 [email protected] OMH Medicaid Transportation845-692-4454 7104 [email protected] OMH Care Coordination845-692-4454 7104 [email protected] OCFS - Foster Care845-692-4454 7104 [email protected] OCFS - Foster Care845-692-4454 7104 [email protected] OCFS - Foster Care845-692-4454 7104 [email protected] OPW Care at Home845-692-4454 7104 [email protected] OPW MSC914-693-0600 1445 [email protected]
[email protected] Other-Non Medicaid Care [email protected] [email protected]
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
[email protected] Other - Private non [email protected]
845-247-9110 [email protected] [email protected] [email protected]
[email protected] [email protected] Other-Health Home Care Management [email protected]@[email protected]@[email protected] Other: OMH Supported [email protected] Other-Consumer Service [email protected] Other-Consumer Service [email protected] Other-Orange Flex Advocacy [email protected] Other-Children & Youth Case [email protected] Other-Children & Youth [email protected] Other: OMH Supported [email protected] Other: Care Coordination
845-247-9110 [email protected] [email protected] Other: Affirmative Business845-247-9110 [email protected] [email protected] Other: Supported Housing845-247-9110 [email protected] Other: Ongoing Integrated Supported Employmen914-682-1480 [email protected] Licensed Home Care Service Agency
[email protected] Other: ICM/SCM/BCM Emergency & Non [email protected] Other: Supportive Case [email protected] Other : Advocacy/Support
845-247-9110 [email protected] [email protected] [email protected]
[email protected] Other: MICA Network845-247-9110 [email protected] [email protected]
[email protected] Other: Sullivan Peer [email protected] Other [email protected]
845-247-9110 [email protected]@rehab.org Other: Sullivan Non Licensed Supported Housing
845-267-2172 325 [email protected] Residential Treatment 845-267-2172 325 [email protected] Behavioral Health Organization 845-267-2172 325 [email protected] Residential Treatment845-267-2172 325 [email protected] Residential Treatment845-267-2172 325 [email protected] Personalized Recovery Oriented Services718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] LHCSA718-519-4022 [email protected] 202 Senior Housing718-519-4022 [email protected] 202 Senior Housing718-519-4022 [email protected] 202 Senior Housing718-519-4022 [email protected] 202 Senior Housing718-519-4022 [email protected] PACE718-430-1525 [email protected] Ambulance718-430-1525 [email protected] Ambulette914-813-6441 [email protected] Other914-378-7506 [email protected] ADULT DAY HEALTH CARE914-378-7506 [email protected] OMH/ARTICLE 28914-378-7506 [email protected] OASAS/ARTICLE 28914-378-7506 [email protected] OASAS/ARTICLE 28914-378-7506 [email protected] PHARMACY914-378-7506 [email protected] EXEMPT PSYCH UNIT914-378-7506 [email protected] RENAL DIALYSIS914-378-7506 [email protected] OMH Case Management914-378-7506 [email protected] OMH (Article 28) Provider-INPATIENT914-378-7506 [email protected] OASAS (Article 28) Provider-INPATIENT914-378-7506 [email protected] OMH (Article 28) Provider- PARTIAL 914-378-7506 [email protected] OMH (Article 28) Provider-PROS914-378-7506 [email protected] OMH (Article 28) Provider-MH CLINIC914-378-7506 [email protected] OASAS (Article 28) Provider-ALC/SA CLINIC914-378-7506 [email protected] OASAS (Article 28) Provider-ALC/SA CLINIC914-378-7506 [email protected] OMH Provider-ACT914-378-7506 [email protected] OMH Provider- ACT RISPERADOL845-336-4747 [email protected] Behavorial Health Organization, Community base845-336-4747 [email protected] Behavorial Health Organization, Community based845-336-4747 [email protected] Behavorial Health Organization, Community base845-336-4747 [email protected] Behavorial Health Organization, Community based845-336-4747 [email protected] Behavorial Health Organization, Community based845-336-4747 [email protected] Behavorial Health Organization, Community based845-336-4747 [email protected] Behavorial Health Organization, Community based
914-305-6888 [email protected] Homecare/Enriched Housing for seniors
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
914-305-6888 [email protected] Homecare/Enriched Housing for seniors845-707-8511 [email protected] Article 28 Clinic914-693-6800 [email protected] Social Day Care Program845-561-6111 [email protected] Hospice
Military General Acute Care [email protected] Housing
646-313-3716 [email protected] Nursing Home based primary care & Transition C845-364-2378 [email protected] Behavioral Health914-739-6700 [email protected] Home Care Services Agency845-707-8619 [email protected] Level III Medical Home914-693-6800 [email protected] Licensed Home Care Services Agency212-543-6711 Behavioral Health845-294-1454 [email protected] Physician Group
845-938-5169 845-623-4900
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
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11 12 15 16
"OTHER"- Provider Type MMIS NPI #1 NPI #2
Licensed Home Healthcare Agency 03314601Adult Day Health Care Program 02190352 1528232758New York State Office of Mental Health 00299557 1417987165
00868635 169972794100868635 169972794100868635 169972794100868635 169972794100868635 169972794100868635 169972794100868635 16997279411216646 152800286201078468 1316945660
Health Home Lead Agency 00473038 161996945800392030 1235209065 - Medicare1760826655- Medicare Part B
Behavioral Health Program - PROS 003376327 1235209065 - Medicare1417235946 - Medicare Part BLicensed Home Care Services Agency LHCSA - 02228522 1285777243State Operated Psychiatric Center 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195State Operated Mental Health Clinic 769264 1275697195LHCSA - Licensed Home Care Service Agency 01783504 1063635142Alcohol/Substance Abuse Treatment FacilityLHCSA - Licensed Home Care Service Agency 01660457 1518019827New York State Article 28 Hospital 33-0404 33T-404
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
1460342 1154604882partial hospital for adolescents 00542567 1225009806OMH Waiver program for children and youthsupportive casemanagement for children and youth
intensive case management for childrensystems building and family driven care planning for kids at risk of residential placementvoacational case management for adolescents
short home based crisis interverntion program for kids at imminent risk of hospitalizationOMH licensed day treatment programs 00542567 1225009806OMH licensed day treatment programs 00542567 1225009806OMH licensed day treatment programs 00542567 1225009806OMH licensed day treatment programs 00542567 1225009806
OCFS licensed residential placement for children 00339482 1225009806residential treatment facility for children 5-12 00339482 1225009806
00347872
3114514 16190908902144003 1558369082
Adult Day Health Care Program 02190352 1528232758Social Day Care Program N/A N/A
Workforce Development
Community Perinatal Public Health Program 2152981 1619161585
Substance Abuse Services 00273056 1639197551
00515637 168956098Pediatric Nursing Facility 01095110 1578635561Youth Forum/peer support for transition aging out youthAdult Home for SMI adults
case management with incarcerated and recently released males00546603 1740587724
HIV/Aids related caremanagement servicesHome based crisis response and prevention for very young children 1386701738Social Adult Day Services 1740587724
1427138569Therapeutic respite services for youth and families 1740587724Food Bank of the Hudson Valley
Professional Corporation (captive PC) 003617136 1376600304
16896271841740222181
15684131691891732038
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
03003578 1467487637Health Home Care Management Provider, 1915i Pro02996349 1578761359
001738930 1922120252Consumer Driven Personal Services Prograsm (Home Care) 1235209065 - Medicare1649349218 - Medicare Part B
1811062920 ADHC - 1427123546Community Based Organization
OMH Article 31 Provider 2998103 194230687303044364 1881760197
1326105446
Housing (OMH, OPWDD, HUD) 02248704/02248671
Workforce Development
1760576722 10635913111750600169
01324854 1346491305Intellectual and Developmental Disabilities 2256619Emergency Medical Services Ambulance 1770575318Advanced Life Support First Response Service (Paramedic Service)EMS and Mobile Outreach 02496624 1265424808
2718674 12756971952718674 127569719501719382 1538595962
Substance Use Disorder Treatment Program with S1638375 1093731069Workforce Development
Pharmacy Bedside support and follow-up
Health Care Management Services Company 02338970 1881653822Non Profit Preventive Health / Community RecreationAdult Day Health Care Program 1053391433
2915617 14373580333397871 1932375938
Behavioral Health (Outpatient Mental Health Clinic) 1336255272Alternatives to Incarceration programs (not direct care)State Operated Psychiatric Center 769255 1679855142State Operated Mental Health Clinic 769255 1679855142State Operated Mental Health Clinic 769255 1679855142
SNF - 02096106ADHC - 01171824
02760025'00304985
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
State Operated Mental Health Clinic 769255 1679855142State Operated Mental Health Clinic 769255 1679855142State Operated Day Treatment Program 769255 1679855142State Operated Day Treatment Program 769255 1679855142State Operated Day Treatment Program 769255 1679855142State Operated Day Treatment Program 769255 1679855142State Operated Day Treatment Progam 769255 1679855142State Operated Day Treatment Program 769255 1679855142State Operated Day Treatment Program 769255 1679855142
2313115 180100373601049476 1215928510
1154538205115453820511545382051154538205
Day Habilitation Program 2699392Prevocational Counseling 2699392
3370472OPWDD Supported Work 2171039Transitional Business ModelWaiver Case Management 1998943
N/A 1629418835N/A 1194069484
Social Model Day Center 1407294812
550101 1457381196550101 1457381196550101 1457381196550101 1457381196550101 1457381196550101 1457381196546658 1497977854
OMH Community Residence for Adults - Congreg 01324730 1215122361OMH Community Residence for Adults - Apartme01324730 1215122361OMH Community Residence for Adults - Apartme01324730 1215122361OMH Medicaid Transportation 00911188 1568657989
01189019 112421327703234544 189101619203234544 189101619203234544 189101619201604448 185150799001998732 0
1326268681Other-Non Medicaid Care Coordination 29987
2998729987 1922293745
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Other - Private non profit 338192 1245812929987 192229374529987 192229374529987 192229374529987 192229374529987
Other-Health Home Care Management SD 2998729987 192229374529987 192229374529987 192229374529987 1922293745
Other: OMH Supported Housing 29987Other-Consumer Service Dollars 29987Other-Consumer Service Dollars 29987Other-Orange Flex Advocacy Services 29987Other-Children & Youth Case Management 29987Other-Children & Youth Recreation 29987Other: OMH Supported Housing 29987Other: Care Coordination 29987
29987 1922293745Other: Affirmative Business 29987
29987 1922293745Other: Supported Housing 29987Other: Ongoing Integrated Supported Employmen29987Licensed Home Care Service Agency 01458382 1972515963Other: ICM/SCM/BCM Emergency & Non Emergen02998070 0Other: Supportive Case Management 02998070 0Other : Advocacy/Support 02998070 0
02998070 192229374502998070 192229374502998070 192229374502998070 002998070 192229374502998070 1922293745
Other: Sullivan Peer Advocacy 02998070 002998070 002998070 192229374502998070 1922293745
Other: Sullivan Non Licensed Supported Housing 02998070 02995191 1326105446
Behavioral Health Organization 2995191 13261054462995191 13261054462995191 1326105446
Personalized Recovery Oriented Services 2995191 132610544617203197261720319726
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
1234037 19322277902661778 12655427653176249 105-364-3353
ADULT DAY HEALTH CARE 00718185 150895979201176416 125560756002999957 147764025802999966 147764025802999966 166951633202999966 161903227300258920 1336236629
OMH Case Management 03281367 1760792139OMH (Article 28) Provider-INPATIENT 03282217 1194035709OASAS (Article 28) Provider-INPATIENT 03282226 1679883037OMH (Article 28) Provider- PARTIAL 03282226 1679883037OMH (Article 28) Provider-PROS 03282226 1679883037OMH (Article 28) Provider-MH CLINIC 03282226 1679883037OASAS (Article 28) Provider-ALC/SA CLINIC 03282226 1679883037OASAS (Article 28) Provider-ALC/SA CLINIC 03282226 1679883037
03283176 1932419306OMH Provider- ACT RISPERADOL 03283185 1578873949Behavorial Health Organization, Community base2997313 1780882373Behavorial Health Organization, Community based2997313 1780882373Behavorial Health Organization, Community base2997313 1780882373Behavorial Health Organization, Community based2997313 1780882373Behavorial Health Organization, Community based2997313 1780882373Behavorial Health Organization, Community based2997313 1780882373Behavorial Health Organization, Community based 2997313 1780882373
Homecare/Enriched Housing for seniors 1740587724
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
Homecare/Enriched Housing for seniors 1740587724
Social Day Care Program N/A N/A
Military General Acute Care Hospital 1528161916
Nursing Home based primary care & Transition C 03443996 11940934681366703597
Licensed Home Care Services Agency 16899171481275624694
Licensed Home Care Services Agency 10535394291508059304
3566396
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Updated Section 2 Form Partner Organization Contact Info
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
1 Christopher Amenedo Dentist2 Gail Cave Dentist3 Michael Cotter Dentist4 Robert Frankel Dentist5 Robert Kirchmann Dentist
Ann Lambert DentistDerek Lewis DentistLeonard Mark DentistJames Martyniak DentistRajendra Rana DentistHarvey Shuster DentistJoseph Tamagna DentistEric Wachs DentistLynet Agrawal Nurse_PractitionerLeena Alapatt Nurse_PractitionerJanice Bistritz Nurse_PractitionerEthlyn Boreland Nurse_PractitionerMartine Bouzi Nurse_PractitionerCollette Brown Nurse_PractitionerDenise Byrd Nurse_PractitionerMildred Carter-Edwards Nurse_PractitionerMargaret Coll Nurse_PractitionerKristy Cook Nurse_PractitionerRebecca Crespi Nurse_PractitionerKimberly Defatta Nurse_PractitionerMariamma Dubey Nurse_PractitionerMelissa Duffy Nurse_PractitionerSteven Ferrara Nurse_PractitionerMitzie Francis Nurse_PractitionerVeronica Francois Nurse_PractitionerSarita George Nurse_PractitionerJudith Godwin Nurse_PractitionerAnnmarie Gordon-Wint Nurse_PractitionerPatricia Greene Nurse_PractitionerHilda Haynes-Lewis Nurse_PractitionerRose Indelicato Nurse_Practitioner
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Marguerite Katt Nurse_PractitionerJacqueline Kelderhouse Nurse_PractitionerJosephine LoBue Nurse_PractitionerArlette Paul Nurse_PractitionerMarianne Prior-Boyer Nurse_PractitionerJohn Robinson Nurse_PractitionerMadeline Rosado Nurse_PractitionerBrenda Sands Nurse_PractitionerMelissa Scheiner Nurse_PractitionerPardella Scott Nurse_PractitionerDahlia Stanbery Nurse_PractitionerLouise Varca Nurse_PractitionerRosario Villasenor Nurse_PractitionerMonique White Nurse_PractitionerRoberta Wright Nurse_PractitionerDale Abadir PhysicianMichelle Abadir-Hallock PhysicianMujjahid Abbas PhysicianIra Abbott PhysicianAhmed Abdelhalim PhysicianMahdi Abdullah PhysicianArthur Abelow PhysicianTony Abraham PhysicianJohn Abrahams PhysicianMichael Ackerman PhysicianChristopher Adubor PhysicianScott Afran PhysicianMunazza Afzal PhysicianChhavi Agarwal PhysicianSurbhi Agarwal PhysicianFrancis Agbonkpolo PhysicianGuirlaine Agnant PhysicianImtiaz Ahmad PhysicianNauman Ahmad PhysicianHasan Ahmed PhysicianMohammad Ahsan Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Bolanle Akingboye PhysicianMarjory Alabre PhysicianDariush Alaie PhysicianHamid Alam PhysicianJoan Albin PhysicianValiere Alcena PhysicianElizabeth Alderman PhysicianJillian Alfonso PhysicianHiyad Al-Husaini PhysicianRebecca Alis PhysicianAvishai Alkalay PhysicianDenton Allman PhysicianJill Altman PhysicianEdward Amelemah PhysicianEdward Amis PhysicianDavid Amstel PhysicianAurora Amurao PhysicianJeanne Amuta PhysicianRobert Angert PhysicianRobert Antonelle PhysicianDaniel Antoniello PhysicianAndres Antonio PhysicianNonyelu Anyichie PhysicianAda Aponte PhysicianMaya Aponte PhysicianCheryl Appel PhysicianCurtis Appel PhysicianRicardo Arayata PhysicianMarkos Asamenew PhysicianBaah Asante PhysicianObehi Asemota PhysicianAhmed Asif PhysicianGregory Asnis PhysicianWinnie Au PhysicianPaul Augustin PhysicianAbdul Azeez Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Selma Azeez PhysicianSergio Baerga PhysicianMahadi Baig PhysicianMichele Bailey PhysicianTehara Bailey PhysicianEdmond Balakhane PhysicianMala Balakumar PhysicianNilesh Balar PhysicianErika Banks PhysicianMordechai Bar PhysicianJohn Bardini PhysicianLuciano Barone PhysicianRichard Barone PhysicianMartin Barschi PhysicianSona Bartsch PhysicianPrasanta Basak PhysicianGeoffrey Basson PhysicianCarolyn Bauer PhysicianDina Began PhysicianEran Bellin PhysicianJacqueline Bello PhysicianRicardo Bello PhysicianTeresa Benacquista PhysicianLillian Berdichevsky PhysicianBenjamin Berenfeld PhysicianBarbara Berger PhysicianSamuel Berger PhysicianLee Berk PhysicianRobert Berkenblit PhysicianNetanel Berko PhysicianArnold Berlin PhysicianDominic Berlingieri PhysicianBernard Bernhardt PhysicianMark Bernhardt PhysicianJeffrey Bernstein PhysicianLaura Bernstein Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Peter Bernstein PhysicianAmit Bhargava PhysicianManzoor Bhatti PhysicianRalph Binder PhysicianMarsha Bitter PhysicianJulie Blake PhysicianDimitrios Bliagos PhysicianSana Bloch PhysicianRachel Bloom PhysicianDavid Blum PhysicianEinat Blumfield PhysicianElizabeth Bobde PhysicianStanley Boczko PhysicianSteven Bodine PhysicianWilliam Bodner PhysicianDmitry Bolkhovets PhysicianJose Bonoan PhysicianSteven Borenstein PhysicianStephen Boris PhysicianPriti Borker PhysicianAlexis Boro PhysicianJayme Bosler PhysicianGino Bottino PhysicianJoseph Bottino PhysicianOgnian Bouhlev PhysicianStanimir Bozic PhysicianJonathan Bradlow PhysicianVeronique Brinson PhysicianAnna Broder PhysicianCarlene Broderick PhysicianAllan Brook PhysicianCristian Brotea PhysicianLamont Brown PhysicianNoel Brown PhysicianLinda Broyde Haramati PhysicianChristie Bruno Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Harris Brustein PhysicianSteven Burger PhysicianPeter Burk PhysicianJudah Burns PhysicianMark Burns PhysicianNina Burtchen Physician
6 Barrington Burt-Miller Physician7 Erkan Buyuk Physician8 Gregory Cadman Physician9 Karen Caldemeyer Physician
10 Diego Camacho Physician11 Fernando Camacho Physician12 Michel-Ange Camille Physician13 Andrew Campbell Physician14 Bruce Campbell Physician15 Deborah Campbell Physician16 Brian Campolattaro Physician17 Ralph Candela Physician18 Mihai Caratas Physician19 Joseph Carcione Physician20 Joseph Casino Physician21 Frank Castellano Physician22 Russell Cavallo Physician23 Erica Cavallo-Olivo Physician24 Paul Cavaluzzi Physician25 Celin Chacko Physician26 Varughese Chacko Physician27 Sarah Chambers Physician28 Pirahatai Chamnongvongse Physician29 Albert Chang Physician30 Jonathan Chang Physician31 Prabjot Channa Physician32 Javier ChapochnickFriedmann Physician33 Howard Charles Physician34 Richard Charney Physician35 Daniel Chechik Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
36 Mohan Cheema Physician37 Allen Chefitz Physician38 Jimmy Chen Physician39 Yadagiri Chepuru Physician40 Koshi Cherian Physician41 Victoria Chernyak Physician42 Judi Chervenak Physician43 Bennie Chiles Physician44 Marvin Chinitz Physician45 Allen Chodock Physician46 Jenny Choi Physician47 Pratima Choudhary Physician48 Samina Choudhry Physician49 Muhammad Choudhury Physician50 Nadine Choueiter Physician51 Ruth Christoforetti Physician52 Linus Chuang Physician53 Roy Chuck Physician54 Scott Chudnoff Physician55 Kwang Chun Physician56 Vincenzo Cirillo Physician57 Elizabeth Clark Physician58 H. Chandler Clark Physician59 Thomas Clough Physician60 Ben Cohen Physician61 Brian Cohen Physician62 Bruce Cohen Physician63 Jeffrey Cohen Physician64 Robin Cohen Physician65 Karen Cole Physician66 Kimberly Cole Physician67 Belkis Colon Physician68 Heather Cook Physician69 Jerome Cooper Physician70 Shana Coplowitz Physician71 Jill Corbo Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
72 Roger Coron Physician73 Jeffrey Cousin Physician74 Robert Cristofaro Physician75 Christina Cuccia Physician76 Christopher Cuccia Physician77 Alain Cunqueiro Physician78 Jacob Cynamon Physician79 Madhu Dagli Physician80 Sanatkumar Dagli Physician81 Marie-Louise Daguilh Physician82 David D'Alessandro Physician83 Diane D'Allegro Physician84 Marie-Ange Dalmacy-Tardieu Physician85 Peer Dar Physician86 Manash Dasgupta Physician87 Ketan Davae Physician88 Devang Dave Physician89 Hirendrakumar Dave Physician90 Jonathan David Physician91 Ira Davis Physician92 Jennifer Davis Physician93 Raquel Davis Physician94 Kenneth Dee Physician95 Pamela DeForest Physician96 John Del Rowe Physician97 Danila Deliana Physician98 Kafui Demasio Physician99 Reginald Denis Physician
100 Ronald Dennett Physician101 Joseph DeRose Physician102 Sarala Devi Physician103 Patricia Devine Physician104 Yasmin Dhar Physician105 Joseph Di Pietro Physician106 James DiLorenzo Physician107 Joan DiMartino-Nardi Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
108 Leonard Dire Physician109 Joseph DiVito Physician110 Satish Doddakashi Physician111 Siobhan Dolan Physician112 Roopali Donepudi Physician113 Irina Donev Physician114 Marie-Ange Dorval Physician115 Ronelle DuBrow Physician116 Jennifer Duchon Physician117 Adam Duhl Physician118 Dameon Duncan Physician119 Paul Dupont Physician120 Roger Duvivier Physician121 Robert Dym Physician122 Ingeborg Dziedzic Physician123 Jeena Eapen Physician124 Lon Easton Physician125 Charles Edelson Physician126 Keith Edwards Physician127 Maureen Edwards Physician128 James Efiong Physician129 Nadira Ehtesham Physician130 Lisa Eiland Physician131 Francine Einstein Physician132 Mark Einstein Physician133 Himabindu Ekanadham Physician134 Rashiah Elam Physician135 Magdy El-Hennawy Physician136 Kelcey Elsass Physician137 Eric Epstein Physician138 Amichai Erdfarb Physician139 Jeffrey Escher Physician140 Ralph Essien Physician141 Debra Etelson Physician142 Paul Eugenio Physician143 Michelle Ewart Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
144 Janice Falls Physician145 Joaquim Farinhas Physician146 Nora Farkouh Physician147 Edmund Farris Physician148 Zachary Farris Physician149 Mary Fedor Physician150 Michael Feld Physician151 Richard Feldman Physician152 Eric Fethke Physician153 Shabnam Fidvi Physician154 Eugene Fine Physician155 Ira Finegold Physician156 Malka Finkelstein Physician157 Mitchell Fishbach Physician158 John Fisher Physician159 Thomas Fisher Physician160 Gary Fishman Physician161 Regina Fitzgerald Physician162 Eugene Flamm Physician163 Jay Fleischman Physician164 Jonathan Fleischmann Physician165 Nicole Fleischmann Physician166 Arlen Fleisher Physician167 Milana Flusberg Physician168 Jonathan Foral Physician169 Monica Foreman-Hyacinthe Physician170 Katie Forman Physician171 Mark Fox Physician172 Norris Fox Physician173 Susan Frank Physician174 Candice Fraser Physician175 Cecile Fray Physician176 Leonard Freeman Physician177 Philip Fried Physician178 Daniel Friedman Physician179 Ilana Friedman Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
180 Shari Friedman Physician181 Andrei Frost Physician182 Mamta Fuloria Physician183 Ullanda Fyffe Physician184 Gary Gabelman Physician185 Roy Gadioma Physician186 Paul Gaglio Physician187 Sandra Ganea Physician188 Sudha Ganti Physician189 Ared Garan Physician190 Evan Garfein Physician191 Madhur Garg Physician192 Raffaele Garofalo Physician193 David Garry Physician194 Richard Garvey Physician195 Juliana Gebb Physician196 Louis Gennarelli Physician197 Claudene George Physician198 Paul Gerardi Physician199 Howard Geyer Physician200 Kabita Ghosh-Hazra Physician201 John Giampietro Physician202 Giancarlo Giannangeli Physician203 Polina Gilchyonok Physician204 Daniel Ginsberg Physician205 Micheline Giovani Physician206 Bernard Gitler Physician207 Tatyana Gitlevich Physician208 Paul Gittens Physician209 Dan Giurca Physician210 Lawrence Glassman Physician211 Morris Glassman Physician212 Dena Goffman Physician213 Jonathan Gold Physician214 Gary Goldberg Physician215 Shlomit Goldberg-Stein Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
216 Adam Goldman Physician217 Inessa Goldman Physician218 Jack Goldman Physician219 Eli Goldner Physician220 Andrew Goldstein Physician221 Barry Goldstein Physician222 Daniel Goldstein Physician223 Robert Goldstein Physician224 Steven Goldstein Physician225 Tamar Goldwaser Physician226 Arel Golombeck Physician227 Yosef Golowa Physician228 Mason Gomberg Physician229 William Gomes Physician230 Lilian Gonzalez Physician231 Rafaela Gonzalez-Lamos Physician232 Wendy Goodman Physician233 James Goodrich Physician234 Dhawal Goradia Physician235 David Gordon Physician236 Samantha Gordon Physician237 William Gotsis Physician238 Richard Gould Physician239 Ameet Goyal Physician240 Carol Grant Physician241 Gabriela Grasa Physician242 Daryl Graves Physician243 Julia Gray Physician244 Debra Green Physician245 Jonathan Greenberg Physician246 Mark Greenberg Physician247 Stuart Greenstein Physician248 Paola Greiger-Zanlungo Physician249 Adolfo Grieg Physician250 David Gritz Physician251 Elliott Gross Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
252 Joseph Grossman Physician253 Alexis Grucela Physician254 Kenneth Grush Physician255 Chandan Guha Physician256 Nili Gujadhur Physician257 Sandeep Gulati Physician258 Archana Gupta Physician259 Farrah Gutwein Physician260 Conelia Ha Physician261 David Haft Physician262 Mary Ann Haines Physician263 Abdul Haleem Physician264 Arthur Hall Physician265 Michele Halpern Physician266 Jennifer Halstead Physician267 Caroline Halverstam Physician268 Faiq Hameedi Physician269 Zoovia Hamiduddin Physician270 Raouf Hanna Physician271 Ian Hantman Physician272 Morton Hantman Physician273 Masood Haque Physician274 Nogah Haramati Physician275 Douglas Hart Physician276 Cindi Hartz Physician277 Rudabah Hasan Physician278 Khaled Hassan Physician279 Thomas Havranek Physician280 Francis Hayden Physician281 Gaddy Haymov Physician282 Valerian Hazan Physician283 Philip Heinegg Physician284 Stephanie Heinlen Physician285 Steven Hemmerdinger Physician286 Hye Heo Physician287 Rubina Heptulla Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
288 Ulrich Hermanto Physician289 Miguel Hernandez Physician290 Jack Hershman Physician291 Steven Herskovitz Physician292 Gilbert Herzberg Physician293 Idaly Hidalgo Physician294 Eyad Hijazin Physician295 Virany Hillard Physician296 Robert Hirsh Physician297 Vivian Hirshaut Physician298 Richard Hodge Physician299 Jason Hodges Physician300 Jonathan Holder Physician301 Leif Holgersen Physician302 Stanley Holstein Physician303 Arthur Hopkins Physician304 Wanda Horn Physician305 Karen Horwitz Physician306 Laura Hotchkiss Physician307 John Houten Physician308 Wen-Ray Hsu Physician309 Gloria Huang Physician310 Melville Hughes Physician311 Deborah Hunter-Brown Physician312 Trang Huynh Physician313 Claire Iamele Physician314 Scott Ikeda Physician315 Edward Illions Physician316 Karen Inghilterra Physician317 Naveed Iqbal Physician318 Gary Ishkanian Physician319 Roberta Itzkoff Physician320 Abieyuwa Iyare Physician321 Jeffrey Jablon Physician322 John Jacoby Physician323 Marcy Jagust Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
324 Ruchika Jain Physician325 Vineet Jain Physician326 William Jakobleff Physician327 Pamela Jasmine Jakubowicz Physician328 Dominique Jan Physician329 Marc Janis Physician330 Sunit Jariwala Physician331 Cathy Jarosz Physician332 Elina Jerschow Physician333 Stephen Jesmajian Physician334 Celina John Physician335 Michael Johnson Physician336 Belinda Johnston-Briggs Physician337 Virendra Juthani Physician338 Norman Kahan Physician339 Sarika Kalantre Physician340 Srirama Kalapatapu Physician341 Thomas Kalchthaler Physician342 Shalom Kalnicki Physician343 Aarti Kapoor Physician344 Richard Karanfilian Physician345 Eve Karkowsky Physician346 Matthew Kates Physician347 Barrett Katz Physician348 Henry Katz Physician349 Barbara Katzeff Physician350 Alan Kaufman Physician351 Bindu Kaul Physician352 Shana Kaye Physician353 Anna Kazanskaya Physician354 Farhad Keliddari Physician355 Steven Keller Physician356 Ernest Kelling Physician357 Lesa Kelly Physician358 Theodore Keltz Physician359 Timothy Kennedy Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
360 Otto Kernberg Physician361 Unab Khan Physician362 Zareen Khan Physician363 Madhury Khan-Ali Physician364 Suresh Khanna Physician365 Kyongmi Kim Physician366 Kyung Ha Kim Physician367 Sarah Kim Physician368 Sun Jin Kim Physician369 Mark Kindschuh Physician370 Jyoti Kini Physician371 Milan Kinkhabwala Physician372 Nancy Kirshenbaum Physician373 Preeti Kishore Physician374 Tobi Klar Physician375 Stephen Klass Physician376 Peter Klatsky Physician377 Charna Klein Physician378 Steven Klein Physician379 Susan Klein Physician380 Susan Klugman Physician381 Piro Koci Physician382 Mordecai Koenigsberg Physician383 Tova Koenigsberg Physician384 Melanie Kogan Physician385 Paul Koltovich Physician386 Harisha Kommana Physician387 Jacob Kowenski Physician388 Orest Kozicky Physician389 Mark Kramer Physician390 Michael Kressner Physician391 Eric Kreutzer Physician392 Gary Kronfeld Physician393 Rashmi Kudesia Physician394 Viresh Kumar Physician395 Naomi Kunin Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
396 Dennis Kuo Physician397 Jessica Kurian Physician398 Danuta Kurstein Physician399 Anastassios Kyriakakos Physician400 Elve Laborde Physician401 Amanda Laird Physician402 Marcelo Laiz Physician403 Mitchell Laks Physician404 Kameswari Lakshmi Physician405 Hao Lam Physician406 Leon Landau Physician407 Steven Landau Physician408 Thomas Landau Physician409 Ellen Landsberger Physician410 Ronald Lang Physician411 David Lans Physician412 Bernhard Lanwehr Physician413 Lisa Lapman Physician414 Patrick Lasala Physician415 Mariam Latuga Physician416 Geeta Laud Physician417 Simeon Lauer Physician418 Alain Le Guillou Physician419 Jeffrey Lederman Physician420 Diana Lee Physician421 Hyun-Joon Lee Physician422 Janet Lee Physician423 Jimmy Lee Physician424 Tony Lee Physician425 Yung Lee Physician426 Melvin Leeds Physician427 Steven Leffler Physician428 David Lent Physician429 Nicole Leone Physician430 Jay Lerman Physician431 Seth Lerner Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
432 Peter Levi Physician433 Mark Levie Physician434 Henry Levin Physician435 Terry Levin Physician436 Evan Levine Physician437 Nanci Levine Physician438 Rebecca Levine Physician439 Margaret Levitt Physician440 Miriam Levitt Physician441 Jeffrey Levsky Physician442 Judith Levy Physician443 Ross Levy Physician444 Yan Li Physician445 Benjamin Liberatore Physician446 Steven Libutti Physician447 Harry Lieman Physician448 Alisha Liggett Physician449 Robert Limani Physician450 Noreen Linn Physician451 Michael Lipton Physician452 Mark Liss Physician453 Rolanda Lister Physician454 Anthony Loizides Physician455 Michael Lombino Physician456 Ronald London Physician457 Charito Love Physician458 Dana Lukin Physician459 Sarah Lupu Physician460 Rosie Lyo Physician461 Thomas Lyo Physician462 Emanuela Maciag Physician463 Karen Mackler Physician464 Gigi Madore Physician465 Assumpta Madu Physician466 Leonard Maffucci Physician467 Richard Magill Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
468 Joseph Mahgerefteh Physician469 Louis Maisel Physician470 Eric Makolo Physician471 Slawomir Malendowicz Physician472 Yogangi Malhotra Physician473 Rubina Malik Physician474 Victor Mandanas Physician475 Michael Mandel Physician476 Lisa Mandelker Physician477 Charles Mango Physician478 Giti Mansouri Physician479 Sheldon Manspeizer Physician480 Ginny Mantello Physician481 Judith Marcus Physician482 Lisa Marrero Physician483 Nelly Maseda Physician484 Hatef Massoumi Physician485 John Mastrantonio Physician486 Kevin Mathisson Physician487 Marshall Matos Physician488 Gerald Matthews Physician489 Gerard Mayer Physician490 Fernanda Mazzariol Physician491 Beth McAvey Physician492 John McClung Physician493 Gail McDonald-Pearson Physician494 Kevin McDonnell Physician495 Heather McGowan Physician496 Carol McLean-Long Physician497 James McWilliam Physician498 Emma Medina Physician499 Norman Medow Physician500 Dinesh Mehta Physician501 Irina Meisher Physician502 Susan Meisler Physician503 Smitha Mellacheruvu Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
504 W. Scott Melvin Physician505 Herbert Mena Hernandez Physician506 Barbara Mendez-Agrusa Physician507 Mark Menegus Physician508 Avraham Merav Physician509 Anthony Mercando Physician510 Michelle Merer Physician511 David Messinger Physician512 William Meyers Physician513 Bahar Miah Physician514 Umar Mian Physician515 Laura Michaeli Physician516 Allison Michels-Pettinelli Physician517 Robert Michler Physician518 Nikolaos Migias Physician519 Biagio Mignone Physician520 Paul Mignone Physician521 Velitchka Mihaleva Physician522 Daniel Miller Physician523 Donald Miller Physician524 Marian Miller Physician525 Michael Miller Physician526 Todd Miller Physician527 Sofiya Milman Physician528 David Milstein Physician529 Lawrence Minowitz Physician530 Hilton Mirels Physician531 Mike Miron Physician532 John Mitamura Physician533 Ronald Mitchell Physician534 Abraham Mittelman Physician535 Adam Mizrachi Physician536 Renee Moadel Physician537 Jodi Mones Physician538 Raymond Montecalvo Physician539 Leslie Montgomery Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
540 Harish Moorjani Physician541 Robert Morello Physician542 Ricardo Mornaghi Physician543 Stuart Moser Physician544 Melanie Moses Physician545 Remus Moucha Physician546 James Mussman Physician547 Michael Mutone Physician548 Asma Naeem Physician549 Ralph Nager Physician550 Geetha Naik Physician551 Ramesh Naik Physician552 Sanjay Naik Physician553 Huma Naqvi Physician554 Shehla Naqvi Physician555 Syed Nayeem Physician556 Sofia Naz Physician557 Ijeoma Nduka Physician558 Genevieve Neal-Perry Physician559 Roseanne Neglio Physician560 Mario Nelson Physician561 Sheri Nemerofsky Physician562 Nicole Nemeth Physician563 James Neuendorf Physician564 Nicole Nevadunsky Physician565 Rosanne Newell Physician566 Barbara Newman Physician567 Scott Newman Physician568 Ann Nguyen Physician569 Victoria Nguyen Physician570 Peter Nnaemeka Physician571 Venkatesh Nori Physician572 Inna Novak Physician573 Robert Novich Physician574 Paul Novotny Physician575 Klaudia Nowakiwskyj Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
576 Obiageli Nweke-Chukumerje Physician577 Adam Oberlander Physician578 Iwuozo Obilo Physician579 Sarah Oh Physician580 Ogedi Ohajekwe Physician581 Nitin Ohri Physician582 Henry Oksman Physician583 Kayode Olowe Physician584 John Olsewski Physician585 Owen O'Neill Physician586 Orit Oppenheimer Physician587 Rona Orentlicher Physician588 Giulia Orsatti Physician589 Thomas Osborne Physician590 Valarie Overton Physician591 George Owens Physician592 Parind Oza Physician593 Rozafa Pali Physician594 Sophia Palmer Physician595 Debra Pan Physician596 Edwin Pan Physician597 Anthony Panarelli Physician598 Remedios Pana-Sarmiento Physician599 Dev Panigrahi Physician600 Katia Papalezova Physician601 Dimitrios Papavassiliou Physician602 Steven Pappas Physician603 Setul Pardanani Physician604 Nishant Parekh Physician605 Neeti Parikh Physician606 Boma Park Physician607 Kyung Park Physician608 Frederick Parker Physician609 Joe Parkey Physician610 Viktoriya Paroder Physician611 Mary Parras Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
612 Gabriella Paskin Physician613 Robert Pass Physician614 Dhansukh Patel Physician615 Mayank Patel Physician616 Milani Patel Physician617 Sonal Patel Physician618 Evelyne Paul Physician619 Marc Paul Physician620 Nancy Pawl Physician621 Maria Pellegrino Physician622 Ilisse Perlmutter Physician623 Bradford Perry Physician624 Lynne Perry-Bottinger Physician625 Richard Petrillo Physician626 Elizabeth Phillips Physician627 John Phillips Physician628 Dominick Piacente Physician629 Maria Pici Physician630 Sabrina Pieroni Physician631 Asti Pilika Physician632 Michael Pisacano Physician633 Richard Pisano Physician634 Vadim Pisarenko Physician635 Kai Pittman Physician636 Francis Polcari Physician637 Adam Polinger Physician638 Staci Pollack Physician639 Daniel Pomerantz Physician640 Aravind Pothula Physician641 Kenneth Powers Physician642 Balasa Prasad Physician643 Meredith Prevor-Weiss Physician644 Richard Price Physician645 Thomas Price Physician646 Leon Protass Physician647 Anthony Provenzano Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
648 Rajshree Puri Physician649 Muhammad Qadir Physician650 Saturnino Quevedo Physician651 Mazan Rabadi Physician652 Andrew Racine Physician653 Michael Rader Physician654 Sarojini Radhakrishnan Physician655 Nadereh Rafat Physician656 Joshua Raff Physician657 Trikante Rajapaksa Physician658 Saul Rakoff Physician659 Manish Ramesh Physician660 Mark Ramirez Physician661 Madhu Rangraj Physician662 Prakashchandra Rao Physician663 Saadia Rashid Physician664 Anne Rasmussen Physician665 Dwarka Rathi Physician666 Sundaram Ravikumar Physician667 Sunita Ravikumar Physician668 Thomas Rechtschaffen Physician669 Shamantha Reddy Physician670 Kimberly Reidy Physician671 Beatriu Reig Physician672 Stephen Renzin Physician673 Fe Reyes-Arcangel Physician674 Victor Ribeiro Physician675 Zina Ricci Physician676 Monica Rieckhoff Physician677 Burton Rindfleish Physician678 Yolanda Rivas Physician679 Jeffrey Roberts Physician680 Larry Roberts Physician681 Juan Rocca Physician682 Ligija Rociunas Physician683 I. Rand Rodgers Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
684 Bartholome Rodriguez Physician685 Consuelo Rodriguez Physician686 Jacques Romano Physician687 Albert Rosen Physician688 Norman Rosen Physician689 Orna Rosen Physician690 Zachary Rosen Physician691 Eric Rosenbaum Physician692 Jamie Rosenberg Physician693 Nathan Rosenfeld Physician694 David Rosenstreich Physician695 Robert Rosenzweig Physician696 Mara Rosner Physician697 Mary Rosser Physician698 Jennifer Roth Physician699 Alla Rozenblit Physician700 David Rubaltelli Physician701 Thomas Rubeo Physician702 Mark Rubin Physician703 Michael Rubin Physician704 Rhonda Rubin Physician705 Martin Ruocco Physician706 Thomas Rush Physician707 Marian Russo Physician708 Irina Rybalova Physician709 Eathar Saad Physician710 Sadia Saboor Physician711 Paul Saenger Physician712 Richard Saitta Physician713 Marc Samolsky Physician714 Daralyn Samuels Physician715 Sana Samuelson Physician716 Mark Sandigursky Physician717 Deanna Sandor Physician718 Heidi Sanger Physician719 Rajat Sanyal Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
720 Enrique Sanz Physician721 Fiorella Saponara Physician722 Michelle Sasson Physician723 Bradley Scharf Physician724 Meir Scheinfeld Physician725 Mark Scher Physician726 Kenneth Schiffer Physician727 Todd Schiffer Physician728 Beth Schorr-Lesnick Physician729 Jeffrey Schultz Physician730 Robert Schwarcz Physician731 Kenneth Schwartz Physician732 Stephen Schwartz Physician733 Charles Scioscia Physician734 Denis Sconzo Physician735 Leonard Seimon Physician736 Christopher Sellars Physician737 Francesco Serafini Physician738 Shailaja Setty Physician739 Amishi Shah Physician740 Binod Shah Physician741 Darshita Shah Physician742 Munima Shaikh Physician743 Peter Shamamian Physician744 Muhammad Sharfuddin Physician745 Parvesh Sharma Physician746 Satyavathi Sharma Physician747 Kamran Shaukat Physician748 Jay Shayevitz Physician749 David Shein Physician750 Howard Sherman Physician751 Yelena Sheydina Physician752 Keivan Shifteh Physician753 Anthony Shih Physician754 Joseph Shin Physician755 Michael Shirazi Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
756 Shyam Shivdasani Physician757 Abhishek Shrivastava Physician758 Anurag Shrivastava Physician759 Vaishalee Shukla Physician760 Donna Siciliano Physician761 Eugene Sidoti Physician762 Judy Siegel Physician763 Michael Silberstein Physician764 Bonnie Silverman Physician765 Gary Silverman Physician766 Pamela Silverman Physician767 Xhevat Sinanaj Physician768 Rajeev Sindhwani Physician769 Mahinderjit Singh Physician770 Pushpinder Singh Physician771 Supreet Singh Physician772 Sumita Sinha Physician773 Lori Sloane Physician774 Peter Slotwiner-Nie Physician775 Harriet Smith Physician776 Hilary Smith Physician777 Theodore Smith Physician778 Yvette Smolin Physician779 David Smotkin Physician780 Ira Solomon Physician781 Molham Solomon Physician782 Sherry Solomon Physician783 Derek Soohoo Physician784 Shariar Sotudeh Physician785 Eric Spencer Physician786 Karen Sperling Physician787 Debra Spicehandler Physician788 Hugo Spindola Physician789 Seymour Sprayregen Physician790 Prashanth Sreeramoju Physician791 Marise St. Charles Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
792 Jennifer Stableford Physician793 John Starke Physician794 Ioannis Stathopoulos Physician795 Mindy Statter Physician796 Jeffrey Stein Physician797 Marjorie Stein Physician798 Fred Stern Physician799 Kenan Stern Physician800 George Stivala Physician801 Benjamin Strong Physician802 Jeffrey Sturza Physician803 Scott Suchin Physician804 William Suggs Physician805 Barrie Suskin Physician806 Arlene Sussman Physician807 Ira Sutton Physician808 Marilyn Sutton Physician809 Kamran Tabaddor Physician810 Sanford Taffet Physician811 Farah Taher Physician812 Frank Tamarin Physician813 Benjamin Taragin Physician814 Joseph Tartaglia Physician815 Alice Teich Physician816 Francois Tellus Physician817 Ellen Teplitz Physician818 Oren Tepper Physician819 Enrique Teuscher Physician820 Silburn Thomas Physician821 John Thompson Physician822 Alecia Thompson-Branch Physician823 Beverly Thornhill Physician824 Michael Thorpy Physician825 Robert Timmermans Physician826 Alfred Tinger Physician827 Justin To Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
828 Katherine Tobin Physician829 Jennifer Toh Physician830 Michael Tom Physician831 Gitit Tomer Physician832 Jonathan Trambert Physician833 Stephen Trauzzi Physician834 Mark Travin Physician835 Louis Tsai Physician836 Nicholas Tsamparlis Physician837 Raymond Tun Physician838 James Turner Physician839 Osahon Ukponmwan Physician840 Joel Ullman Physician841 Sol Usher Physician842 Ana Valdivia Physician843 Christina Veit Physician844 Pratibha Vemulapalli Physician845 Joe Verghese Physician846 Ajay Verma Physician847 Joshua Vernatter Physician848 Edwin Vicioso Physician849 Erez Vidan Physician850 Fara Vitale Physician851 Michael Vitti Physician852 Claus vonSchorn Physician853 Shefali Vyas Physician854 Jane Wachs Physician855 Audrey Walker Physician856 Susan Wallis Physician857 Erin Walsh Physician858 Nicholas Walsh Physician859 Frederick Wang Physician860 Phyllis Wan-Huen Physician861 Sheldon Wasserman Physician862 Peter Wayne Physician863 Mark Weigle Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
864 Gerard Weinberg Physician865 Francis Weiner Physician866 Gila Weinstein Physician867 Paul Weinstein Physician868 Russell Weinstein Physician869 Samuel Weinstein Physician870 Christine Weintraub Physician871 David Weiss Physician872 Jeffrey Weiss Physician873 Clyde Weissbart Physician874 Joshua Weissman Physician875 David Weltman Physician876 Michael Werner Physician877 Eugene Whang Physician878 Michael Whang Physician879 Kathleen Whitney Physician880 Lisa Wiechmann Physician881 Tyr Wilbanks Physician882 Robert Wilkins Physician883 Linda Williams Physician884 Rebecca Williams Physician885 Samuel Williams Physician886 Ellen Wolf Physician887 Steven Wolf Physician888 Diana Wolfe Physician889 Norbert Wolloch Physician890 Melissa Woo Physician891 Jing Xu Physician892 Abdollah Yamani Physician893 Amir Yamani Physician894 Charles Yang Physician895 Wen-Jeng Yao Physician896 Reza Yassari Physician897 Adam Yedlin Physician898 Zenaida Young Physician899 Bo Yu Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
900 Irene Yu Physician901 Gerald Yudell Physician902 Edward Yun Physician903 Adnan Yunus Physician904 Myron Zackman Physician905 Gerald Zaidman Physician906 Benjamin Zalta Physician907 Richard Zampolin Physician908 Gary Zeitlin Physician909 Steven Zelicof Physician910 Cheng Zhang Physician911 Huan-Sue Zhou Physician912 Ping Zhou Physician913 William Zurhellen Physician914 Jessica Zwerling Physician915 Regina Olasin Physician916 Philip Wilken Physician917 Heather Guinan Nurse_Practitioner918 Dr. Rhee-Kim Physician919 Dr. Zambenedetti Physician920 Dr. Lago Physician921 Dr. Reitman Physician922 Amy Della Rocca Nurse_Practitioner923 Maureen Ribiero Nurse_Practitioner924 Healy, Elaine Medical Director925 Abolahrari, Saba Physician926 Cheema, Mohan Physician927 Gupta, Gayatri Physician928 Cirillo, Vincenzo Physician929 Culliford, Daniel Physician930 Bangaruraju, Kolanuvadia Physician931 NERLIGE BASAVARAJU Physician932 VASANTHA BATTU Physician933 MARCEL BENOIT Physician934 ASSEN BOGDANOV Physician935 ALECIA DAVIS Nurse_Practitioner
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
936 DANIELLE DUMRESE Nurse_Practitioner937 POLINA FEYGIN Physician938 ROSS FRIEDMAN Physician939 IGOR GUTNIK Physician940 WELLINGTON LIU Physician941 MARITZA MOLINA Physician942 MARCIA NAVEH Physician943 LINDA RIMMER Nurse_Practitioner944 KRISTIN ROBIE Physician945 DONALD ROSS Physician946 ROBERT SIMON Physician947 CLARA STRINGER AULD Physician948 LILY YEE Physician949 Farid Abdo Physician950 Laurie Abrams Physician951 Munazza Afzal Physician952 Kulsuma Ahmed Physician953 Tauseef Ahmed Physician954 Marjory Alabre Physician955 Rosalie Alvarado Physician956 Louis Amorosa Physician957 David Amstel Physician958 Judy Anderson Physician959 Louis Andrews Physician960 Ana Androne Physician961 Louis Androne Physician962 Iyad Annabi Physician963 Marc Appel Physician964 Thomas Apuzzo Physician965 Jonathan Arad Physician966 Dominick Artuso Physician967 Andrew Ashikari Physician968 Roy Ashikari Physician969 Mitchell Auerbach Physician970 Ihab Awad Physician971 Abdul Azeez Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
972 Selma Azeez Physician973 Agnes Banquet Physician974 Steven Barry Physician975 Ramakrishna Battini Physician976 Jonathan Bauman Physician977 Nicholas Bavaro Physician978 Thomas Bazdekis Dentist979 Susan Beatty Physician980 Gregory Bender Physician981 Lesly Benodin Physician982 Peter Berkey Physician983 Alan Bernstein Physician984 Shishir Bhattacharya Physician985 Elizabeth Bobde Physician986 Steven Bodine Physician987 Jose (Todd) Bonoan Physician988 John Bortz Physician989 Andrew Breiman Dentist990 Joseph Brill Physician991 Mariel Brittis Physician992 Elana Bruckmann Physician993 Erkan Buyuk Physician994 Ashley Caggiano Physician995 Stephen Cagliostro Physician996 Michel-Ange Camille Physician997 James Canoy Physician998 Stere Carniciu Physician999 Oliver Cartano Physician
1000 Evelyne Eusebe Carter Physician1001 Joseph Castellano Physician1002 John Castillo Physician1003 Gregg Cavaliere Physician1004 Varughese Chacko Physician1005 Mohsen Chafizadeh Physician1006 Melita Charles Physician1007 Claire Chase Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1008 Saulat Chaudhry Physician1009 Rodica Chele Physician1010 Wei Cheng Physician1011 Yadagiri Chepuru Physician1012 Judi Chervenak Physician1013 Sophie Chheang Physician1014 Bennie Chiles Physician1015 Matthew Chin Dentist1016 Alvin Chisolm Physician1017 Ashok Chopra Physician1018 Linus Chuang Physician1019 Rolando Chumaceiro Physician1020 Joanette Claridge-Weisse Physician1021 Hugo Cocucci Physician1022 Jeffrey Cohen Physician1023 Mitchell Cohn Physician1024 Anthony Commentucci Physician1025 Carl Comuniello Physician1026 Michael Corvini Physician1027 Jeffrey Cousin Physician1028 Diane Cracchiolo Physician1029 Aida Cruz-Soto Physician1030 Susan Cushin Physician1031 Michael Cushner Physician1032 Gerald D'Ambrosia Physician1033 Madhu Dagli Physician1034 Sanatkumar Dagli Physician1035 Jozef Debiec Physician1036 Laura Debrot Physician1037 John Del Rowe Physician1038 John Della Badia Physician1039 Robert DeMatteo Physician1040 James DeMeo Physician1041 Spero Demoleas Physician1042 Joseph DeNatale Physician1043 Andrew DeRogatis Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1044 Sarala Devi Physician1045 Manjeet Dhallu Physician1046 Eric Diana Physician1047 David Dickoff Physician1048 Christopher DiGiorno Physician1049 Michael DiGiorno Physician1050 Sofia Din Physician1051 Ronald Dinsmore Physician1052 John Ditzenberger Physician1053 Anna Dolan Physician1054 Nicholas Donas Physician1055 Macarthur Drake Physician1056 Laurence Dubensky Physician1057 Elizabeth Dubovsky Physician1058 Marcia Dunn Physician1059 Jeena Eapen Physician1060 Amber Ebrahim Physician1061 Charles Edelson Physician1062 Josef Edrich Physician1063 Sherif El-Masry Physician1064 Charles Elkin Physician1065 Seyed Emamian Physician1066 Steven Epstein Physician1067 Markus Erb Physician1068 Francisco Erfe Physician1069 Andrew Fader Physician1070 Joseph Fakhry Physician1071 Frederick Fallick Physician1072 Steven Feick Physician1073 Michael Feld Physician1074 Richard Feldman Physician1075 Eugene Ferraro Physician1076 Michael Ficazzola Physician1077 Thomas Fiorentino Physician1078 Bernard Fish Physician1079 Robert Fisher Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1080 Deborah Fishman Physician1081 Marian Fleischer Physician1082 Philip Florio Physician1083 Mark Fox Physician1084 Steven Francescone Physician1085 Matt Friedman Physician1086 Jacobo Futran Physician1087 Evan Gaines Physician1088 Brian Gair Physician1089 Marlene Galizi Physician1090 Jaime Lyn Garber Physician1091 Stephanie Gargani Physician1092 Jacob Gebrael Physician1093 Richard Gellis Physician1094 Grace George Physician1095 Carl Gerardi Physician1096 Dmitry Gerber Physician1097 Paul Giacopelli Physician1098 Paul Ginelli Physician1099 Alon Gitig Physician1100 Elizabeth Glass Physician1101 Scott Glasser Physician1102 Alan Go Physician1103 Neal Goldberg Physician1104 Corey Golding Physician1105 Jack Goldman Physician1106 Jeffrey Goldman Physician1107 George Goldmark Physician1108 Harry Goldmark Physician1109 Jeffrey Goldstein Physician1110 Lawrence Goldstein Physician1111 Sergio Golombek Physician1112 Juan Gonzalez Physician1113 Caren Goodman Physician1114 Enid Goris Physician1115 Maheep Goyal Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1116 Suzanne Greenidge Physician1117 Barbara Griffith Physician1118 Edward Griggs Physician1119 Portia Groening Physician1120 Bev Guo Physician1121 Abdul Haleem Physician1122 Joseph Hall Physician1123 Rukhshinda Hameedi Physician1124 Marc Hamet Physician1125 Alcott Hamlet Physician1126 Curtis Hammerman Physician1127 Soheir Haram-Mourabet Physician1128 Radhika Hariharan Physician1129 Mahjabeen Hassan Physician1130 Gary Heitzler Dentist1131 James Hellerman Physician1132 Jay Helman Physician1133 Thomas Henry Physician1134 Ulrich Hermanto Physician1135 David Hershan Physician1136 Adam Hill Physician1137 Peter Hobeika Physician1138 Ruth Holliday Physician1139 Katherine Hough Physician1140 Hisham Hourani Physician1141 Syed Husain Physician1142 Doron Ilan Physician1143 John Ilario Physician1144 Marius Ilario Physician1145 Edward Illions Physician1146 Lillian Indio Physician1147 Khalil Innabi Physician1148 Henry Issenberg Physician1149 Prasert Itharat Physician1150 Jeffrey Jablon Physician1151 Jordan Jacobs Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1152 Jeffrey Jacobson Physician1153 Supriya Jain Physician1154 Miriam James Physician1155 Marc Janis Physician1156 Katarzyna Jankowska Physician1157 Mona Jean Physician1158 Elpidio Jimenez Physician1159 Celina John Physician1160 James Joseph Physician1161 Robert Josephberg Physician1162 Anil Joshi Physician1163 Ghulam Joyo Physician1164 Jonathan Kagan Physician1165 Jean Kalache Physician1166 Mimi Kang Physician1167 Sherri Kaplan Physician1168 Jordan Kase Physician1169 Mark Kaszczak Physician1170 Matthew Kates Physician1171 Henry Katz Physician1172 Neil Katz Physician1173 Pond Kelemen Physician1174 Tamir Kharouba Physician1175 Jaimenee Khemraj Physician1176 Paul Khoury Physician1177 Thomas Khoury Physician1178 Andre Khoury-Yacoub Physician1179 Sarla Khushalani Physician1180 Sang Kim Physician1181 Tae Kim Physician1182 Natalya Kishkareva Physician1183 Peter Klatsky Physician1184 Andrei Klein Physician1185 Charna Klein Physician1186 Jeffrey Klein Physician1187 R. Michael Koch Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1188 Basil Kocur Physician1189 Bangaruraju Kolanuvada Physician1190 Vahan Kouyoumdjian Physician1191 Orest Kozicky Physician1192 Mark Kramer Physician1193 Marshall Kramer Physician1194 Steven Kroop Physician1195 Richard Kubik Physician1196 Danuta Kurstein Physician1197 Edmund LaGamma Physician1198 Leon Landau Physician1199 Ronald Lang Physician1200 Jose Lantin Physician1201 Har Chi Lau Physician1202 Laure Lauriston Physician1203 Jae Lee Physician1204 Thomas Lee Physician1205 Gary Lehrman Physician1206 Jonas Leibowitz Physician1207 David Lent Physician1208 Keith Lescale Physician1209 David Levi Physician1210 Renee Levin-Waldman Physician1211 Nichole Lewis Physician1212 Yan Li Physician1213 Benjamin Liberatore Physician1214 Harry Lieman Physician1215 Atul Limaye Physician1216 Tone Lindgren Physician1217 Stanley Litvak Physician1218 Delong Liu Physician1219 Eugene Liu Physician1220 Howard Liu Physician1221 Rodolphe Louis-Paul Physician1222 Howard Luks Physician1223 Ia Luna Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1224 Paul Lutvak Physician1225 Rosie Lyo Physician1226 Thomas Lyo Physician1227 Anthony Maddalo Physician1228 Michael Madden Physician1229 Atul Maini Physician1230 Slawomir Malendowicz Physician1231 Brijesh Malkani Physician1232 Luay Marji Physician1233 Boris Markovich Physician1234 Jose Martinez Physician1235 John Marzano Physician1236 Victor Mascitelli Physician1237 Jolly Mathew Physician1238 Tina Mathews Physician1239 Mark Matiash Physician1240 Ari Mayerfield Physician1241 Beth McAvey Physician1242 Martin McGrath Physician1243 Heather McKee Physician1244 Amee Mehta Physician1245 Prem Mehta Physician1246 Smitha Mellacheruvu Physician1247 Sudhakar Mettu Physician1248 Robert Meyerson Physician1249 Savely Meyerzon Physician1250 Allison Michels-Pettinelli Physician1251 Domenico Mignone Physician1252 David Milikow Physician1253 Raffaele Milizia Physician1254 Laurence Miller Physician1255 Todd Minken Physician1256 Mike Miron Physician1257 John Mitamura Physician1258 Kesava Mittapalli Physician1259 Mykola Mohuchy Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1260 Saba Moizuddin Physician1261 Norman Mok Physician1262 Mario Montoni Physician1263 Navid Mootabar Physician1264 Elizabeth Moseley Physician1265 Nancy Moskowitz Physician1266 Remus Moucha Physician1267 Janice Muir Physician1268 Muhammad Naeem Physician1269 Laurie Nahum Physician1270 Ganga Nair Physician1271 Kenneth Nalaboff Physician1272 Mohamed Nassar Physician1273 Calvin Natanzon Physician1274 Eric Nazziola Physician1275 Genevieve Neal-Perry Physician1276 Dana Nedelea Physician1277 Lawrence Neshiwat Physician1278 Gregory Neufeld Physician1279 Scott Newman Physician1280 Kenneth Nisch Physician1281 Erinn Noeth Physician1282 Richard Noto Physician1283 Stephen Novick Physician1284 Klaudia Nowakiwskyj Physician1285 Theodore Nowakiwskyj Physician1286 Kwesi Ntiforo Physician1287 Chong Oh Physician1288 Oana Olteanu Physician1289 Jude Onaghise Physician1290 Christopher Orlando Physician1291 Andre Outon Physician1292 Randall Owen Physician1293 Victor Pacheco-Fowler Physician1294 Dev Panigrahi Physician1295 Lance Parton Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1296 Bindi Patel Physician1297 Dhansukh Patel Physician1298 Nirav Patel Physician1299 George Pianka Physician1300 Edner Pierre-Louis Physician1301 Michael Platzman Physician1302 Staci Pollack Physician1303 Octavian Popa Physician1304 Oxana Popescu Physician1305 Meredith Prevor-Weiss Physician1306 Sanford Proner Physician1307 Tadeusz Przechodzki Physician1308 Carmelo Puccio Physician1309 Afsana Qader Physician1310 John Quintas Physician1311 Marieta Quintero Physician1312 Ammir Rabadi Physician1313 Sarojini Radhakrishnan Physician1314 Roger Raichelson Physician1315 Nagai Rajendran Physician1316 Rajendra Rampersaud Physician1317 Robert Raniolo Physician1318 Cain Ranjan Physician1319 Prakashchandra Rao Physician1320 Dwarka Rathi Physician1321 Seema Rathi Physician1322 Sundaram Ravikumar Physician1323 Shahram Razmzan Physician1324 Thomas Rechtschaffen Physician1325 Dominick Reda Physician1326 Steven Renzoni Physician1327 Hector Retik Physician1328 Victor Ribeiro Physician1329 Glenn Richard Physician1330 Young Ro Physician1331 John Robbins Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1332 Joseph Rogers Physician1333 Elliott Rosch Physician1334 Michael Rosen Physician1335 Norman Rosen Physician1336 Mark Russell Physician1337 Sadia Saboor Physician1338 Richard Saffran Physician1339 Nidhi Sahgal Physician1340 Armando Saltiel Physician1341 C. Andrew Salzberg Physician1342 Majed Samarneh Physician1343 Mark Sandigursky Physician1344 Larry Sandler Physician1345 Lambert-Ian Santos Physician1346 Rajat Sanyal Physician1347 Venkatesh Sawkar Physician1348 Martin Sayegh Physician1349 N. James Sayegh Physician1350 Nayel Sayegh Physician1351 Osama Sayegh Physician1352 Roger Sayegh Physician1353 George Schirripa Physician1354 John Schirripa Physician1355 Michael Schnur Physician1356 Herbert Schoen Physician1357 Joshua Schoen Physician1358 Beth Schorr-Lesnick Physician1359 Michael Schreiber Physician1360 Richard Schwartz Physician1361 Robert Schwartzwald Dentist1362 Randy Seewald Physician1363 Karen Seiter Physician1364 Alina Serdakowska Physician1365 Thirumoorthi Seshan Physician1366 Regina Sexton Physician1367 Binod Shah Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1368 Suresh Shah Physician1369 Noreen Shahbaz Physician1370 Shahid Sheikh Physician1371 Ali Sherzoy Physician1372 Heera Shetty Physician1373 Anthony Shih Physician1374 Frank Shin Physician1375 Michael Shin Physician1376 Alireza Shirvani Physician1377 E. Mohajer Shojai Physician1378 Binaya Shrestha Physician1379 Sheetal Shrimanker Physician1380 Judy Fried Siegel Physician1381 David Siegler Physician1382 Mark Silberman Physician1383 Bonnie Silverman Physician1384 Mahinderjit Singh Physician1385 Pushpinder Singh Physician1386 Rakesh Singh Physician1387 Juan Sinisterra Physician1388 Robert Soffer Physician1389 Emad Soliman Physician1390 Sindy Solomon Physician1391 Derek Soohoo Physician1392 Gail Sorrel-Mosk Physician1393 Shariar Sotudeh Physician1394 Mario Spagnuolo Physician1395 Rosa Linda Spatoliatore Physician1396 Eric Spencer Physician1397 Aaron Spingarn Physician1398 Ioannis Stathopoulos Physician1399 Shveta Stern Physician1400 Todd Stewart Physician1401 Joshua Stillman Physician1402 Gerald Suh Physician1403 Brenda Sullivan Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1404 Yu Sun Physician1405 Sarika Sunku Physician1406 Irina Surbnshanyan Physician1407 Mark Susman Physician1408 Walter Szpur Physician1409 David Tang Physician1410 Gary Tannenbaum Physician1411 Maggie Tavdy Physician1412 Julio Teixeira Physician1413 Manuel Tejera Physician1414 Ellen Teplitz Physician1415 Dorian Tergis Physician1416 Laura Thomas Physician1417 Narsing Rao Thummala Physician1418 Alfred Tinger Physician1419 Michael Tom Physician1420 Nadav Traeger Physician1421 John Train Physician1422 David Tsay Physician1423 Carlos Tulla Physician1424 Frank Turchioe Physician1425 Sheila Turken Physician1426 Osahon Ukponmwan Physician1427 Mauricio Valdes Physician1428 Diana Valencia Physician1429 David Vanson Physician1430 Anju Varghese Physician1431 Ingrid Veiss Physician1432 Christina Veit Physician1433 Guido Volcovici Physician1434 Eric Wachs Dentist1435 Peter Wayne Physician1436 Mark Weigle Physician1437 Richard Weinstein Physician1438 Elizabeth Weintraub Physician1439 Joshua Weissman Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1440 Michael Weitzen Physician1441 Sharon Welch-Philp Physician1442 Ellen Whalen Physician1443 Michele Wiener Physician1444 Samuel Williams Physician1445 Joseph Wojcik Physician1446 Charles Wolff Physician1447 Ping Wong Physician1448 Richard Wu Physician1449 Paula Yeghiayan Physician1450 Bo Yu Physician1451 Irene Yu Physician1452 Edward Yun Physician1453 Adnan Yunus Physician1454 Joseph Zajac Physician1455 Sarah Zeb Physician1456 Kristan Zimmermann Physician1457 Andres Zuleta Physician1458 Neal Zung Physician1459 Carol Iheagwara Nurse_Practitioner1460 Gayle Newshan Nurse_Practitioner1461 Paul Antonecchia Physician1462 Elio Ippolito Physician1463 Catherine Harris Nurse_Practitioner1464 Rolando Chumaceiro Physician1465 Richard Khalil Physician1466 Rodika Kump Physician1467 Robert Samaniego Physician1468 Osama Sayegh Physician1469 Glen W. DeLuca Dentist1470 Ralph Benzakein Podiatrist1471 Jeffrey Baruch Optometry1472 Alan Basso Psychology1473 Jose T. Bonoan Physician1474 Joseph J. Brill Physician1475 Edward Cardillo Psychology
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1476 Charles W. Edelson Physician1477 Sherif El-Masry Physician1478 Frederick Fallick Physician1479 Kimberly Holt Psychology1480 Syed Husain Physician1481 Jose Lantin Physician1482 Shobin Oomen Physician1483 Nirav Patel Physician1484 Nadem Sayegh Physician1485 Binaya Shrestha Physician1486 Emad Soliman Physician1487 Sofia Umali-Jhanji Psychiatric NP1488 Mauricio Valdes Physician1489 Sadaf Ahsan, M.D. Physician1490 M. Rita Aszalos Physician1491 Seth Darkey Physician1492 Hirendrakumar Dave Physician1493 Wael Fakhoury Physician1494 Richard Feldman Physician1495 Caridad Fresneda Physician1496 Lilian Gonzalez Physician1497 Richard Greif Physician1498 Barbara Griffith Physician1499 Khaled Hassan Physician1500 Jean Kalache Physician1501 Richard Khalil Physician1502 Johnny Kovoor Physician1503 Giti Mansouri Physician1504 Luay Marji Physician1505 Norma Miranda-Zetterstand Physician1506 Arshia Nishat Physician1507 Craig Orvieto Physician1508 Charles Pastor Physician1509 Ammir Rabadi Physician1510 Dwarka Rathi Physician1511 Seema Rathi Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1512 Dominick Reda Physician1513 Jennifer Ringstad Physician1514 Salomon Rivera Physician1515 Majed Samarneh Physician1516 Nadem Sayegh Physician1517 Nayel Sayegh Physician1518 Sami Sayegh Physician1519 Nadeem Shahid Physician1520 Barry Smith Physician1521 Molham Solomon Physician1522 Michelle Vaca Physician1523 Minal Vaidya Physician1524 Sudhir Vaidya Physician1525 Mauricio Valdes Physician1526 Sonia Velez Physician1527 Jelena Veselinovic Physician1528 Guido Volcovici Physician1529 Adam Lau Dentist1530 Christopher Amenedo Dentist1531 Melanie Jackson Dentist1532 Benjamin Kur Dentist1533 Sal Longo Dentist1534 Audrey Ramsay Dentist1535 Irina Suarez Dentist1536 Nina Abbruzzese Nurse_Practitioner1537 Diana Pascual Nurse_Practitioner1538 Kenneth Reid Nurse_Practitioner1539 Lillian Fernandez Cassarello Nurse_Practitioner1540 John Del Rowe Physician1541 Ulrich Hermanto Physician1542 Ronald Espinoza Physician1543 Aaresh Hasan Physician1544 Jason Bell Physician1545 Altagracia Boucher-Miranda Physician1546 Keith Cartmill Physician1547 David Goldschmitt Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1548 Richard Kirkwood Physician1549 Victoria Kou Physician1550 Shannon Maher Physician1551 Daniela Niec Physician1552 Barry Smith Physician1553 Susana Tinsay Physician1554 Montgomery Douglas Physician1555 Imtiaz Ahmad Physician1556 Hamid Alam Physician1557 Edmond Balakhane Physician1558 Philip Beuchert Physician1559 Marsha Bitter Physician1560 Lamont Brown Physician1561 Bruce Campbell Physician1562 Albert Chang Physician1563 Kenneth Dee Physician1564 Reginald Denis Physician1565 Satish Doddakashi Physician1566 Samantha Gordon Physician1567 Conellia Ha Physician1568 Jason Hodges Physician1569 Karen Horwitz Physician1570 Charbel Ishak Physician1571 Gary Kronfeld Physician1572 Melvin Leeds Physician1573 Steven Leffler Physician1574 Robert Limani Physician1575 Michael Lombino Physician1576 Victor Mandanas Physician1577 Adam Mizrachi Physician1578 Paul Novotny Physician1579 Adam Oberlander Physician1580 Stephen Robinson Physician1581 Kenneth Schwartz Physician1582 Michael Shirazi Physician1583 Abhishek Shrivastava Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1584 Supreet Singh Physician1585 Michael Slattery Physician1586 Serge Somrov Physician1587 Erez Vidan Physician1588 Russell Weinstein Physician1589 David Weltman Physician1590 Robert Wilkins Physician1591 Surbhi Agarwal Physician1592 Sravanthi Chanamolu Physician1593 Jeena Eapen Physician1594 Jeffrey Escher Physician1595 Roy Gadioma Physician1596 Sudha Ganti Physician1597 Raffaele Garofalo Physician1598 Annamma John Physician1599 Thomas Kalchthaler Physician1600 Khoi Luong Physician1601 Emanuela Maciag Physician1602 Giti Mansouri Physician1603 Riny Mathai Physician1604 Nikolaos Migias Physician1605 James Neuendorf Physician1606 Biljana Scopulovic-Nikolic Physician1607 Donna Siciliano Physician1608 Michael Taitt Physician1609 Manuel Columbres Physician1610 Steven Doh Physician1611 Kim Randolph Physician1612 Guy Salomon Physician1613 Camille Stewart Physician1614 Dilip Subhedar Physician1615 Daniel Torma Physician1616 David Vent Physician1617 Margaret Wu Physician1618 Leticia Gonzalez Physician1619 Khaled Hassan Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1620 Wael Fakhoury Physician1621 Nadeem Shahid Physician1622 Antoine Adam Physician1623 Julio Arminan Physician1624 Maria Aszalos Physician1625 Rozy Aurora Physician1626 Evan Bender Physician1627 Cheryl-Lisa Bennett Physician1628 Jimmy Chen Physician1629 Federico Colon Physician1630 Richard Ellsasser Physician1631 Brian Fahnrich Physician1632 Richard Feldman Physician1633 Eleanor Gold Physician1634 Juan Gonzalez Physician1635 Ayodele Green Physician1636 Bernardo Izaguirre Physician1637 Isabella Kanellopoulou Physician1638 Ryul Kim Physician1639 Raelene Ladaga Physician1640 Li Lan Physician1641 Gary Lelonek Physician1642 Conrado Lota Physician1643 Howard Mahler Physician1644 Frank Meglio Physician1645 Ingrid Montgomery Physician1646 Niru Nahar Physician1647 Muhammad Naz Physician1648 Nnamdi Odiah Physician1649 Aruna Pal Physician1650 Barry Perlman Physician1651 Danuta Przechodzka Physician1652 Celia Trotta Physician1653 Sonia Velez Physician1654 Jelena Veselinovic Physician1655 Meredith Wong Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1656 Maurizio Zambenedetti Physician1657 Caridad Fresneda Physician1658 Barbara Griffith Physician1659 Johnny Kovoor Physician1660 Steven Barry Physician1661 Peter Berkey Physician1662 Radhika Hariharan Physician1663 Ellen Miller Physician1664 Norma Miranda Physician1665 Arshia Nishat Physician1666 Craig Orvieto Physician1667 Charles Pastor Physician1668 Jennifer Ringstad Physician1669 Molham Solomon Physician1670 Michele Vaca Physician1671 Minal Vaidya Physician1672 Deborah Williams Physician1673 Richard Greif Physician1674 Daniela Balint Physician1675 Suparna Basu Physician1676 Olusegun Bello Physician1677 Richard Donn Physician1678 John Dziedzic Physician1679 Richard Ellison Physician1680 Barbara Farkas Physician1681 Eran Feit Physician1682 Anna Filova Physician1683 Barbara Fontane Physician1684 Richard Gabel Physician1685 Ora Gelb Physician1686 Irwin Gelman Physician1687 Karen Gennaro Physician1688 Dean Harlam Physician1689 Marc Hilaire Physician1690 Wallace Jenkins Physician1691 Saurabh Kaushik Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1692 James Kelleher Physician1693 Mahpara Khan Physician1694 Douglas Kornreich Physician1695 David Levy Physician1696 Joseph Macaluso Physician1697 Irina Martynova Physician1698 Marie McGuffie Physician1699 Richard Milone Physician1700 Robert Olko Physician1701 Kerin Orbe Physician1702 Cynthia Perry Physician1703 Joshua Pollack Physician1704 Asif Rashid Physician1705 Diana Ratki Physician1706 Nirmala Reddy Physician1707 Eileen Sacharski Physician1708 Anna Sass Physician1709 Sunil Saxena Physician1710 Jorge Secchi Physician1711 Steven Shainmark Physician1712 Ilana Slaff Physician1713 Adolph Soto Physician1714 Carlos Sotolongo Physician1715 Harvey Stabinsky Physician1716 Susan Stabinsky Physician1717 Young Suh Physician1718 Jicheng Tang Physician1719 Mariann Turato Physician1720 Steven Tutnauer Physician1721 Abby Wasserman Physician1722 Carol Weinstein Physician1723 Susan Weston Physician1724 Douglas Whikehart Physician1725 Mitchell Auerbach Physician1726 Christopher DiGiorno Physician1727 Orest Kozicky Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1728 Peter Wayne Physician1729 Manjeet Dhallu Physician1730 Christopher Lee Physician1731 Brijesh Malkani Physician1732 Frederick Beckett III Physician1733 Zaher Hamadeh Physician1734 Teresa Hervada Physician1735 Abdulquader Khan Physician1736 Arundhati Marballi Physician1737 Faisal Nagarwala Physician1738 Yun Namkung Physician1739 James Nesheiwat Physician1740 Akino Yamashita Physician1741 Farhat Ahmad Physician1742 Rosalyn Harrison Physician1743 Rakesh Abbi Physician1744 Joel Lincoln Physician1745 Alicia Almendral Physician1746 Iyad Annabi Physician1747 Thomas Apuzzo Physician1748 Jonathan Arad Physician1749 Martha Arden Physician1750 Ihab Awad Physician1751 Arthur Badikian Physician1752 Anthony Bardinelli Physician1753 Stanley Boczko Physician1754 Steven Bodine Physician1755 Jose Bonoan Physician1756 Joseph Brill Physician1757 Cristian Brotea Physician1758 Glenn Callahan Physician1759 Fernando Camacho Physician1760 Silvio Ceccarelli Physician1761 Rodica Chele Physician1762 Rolando Chumaceiro Physician1763 Anthony Commentucci Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1764 John D'Ambrosio Physician1765 Seth Darkey Physician1766 Hirendrakumar Dave Physician1767 Robert DeMatteo Physician1768 Joseph DeNatale Physician1769 Michael DiGiorno Physician1770 Marcia Dunn Physician1771 Charles Edelson Physician1772 Chukwuemeka Efobi Physician1773 Sherif El-Masry Physician1774 Frederick Fallick Physician1775 Steven Francescone Physician1776 Daniel Friedman Physician1777 Jacobo Futran Physician1778 Alan Go Physician1779 Adam Goldman Physician1780 Jack Goldman Physician1781 Lilian Gonzalez Physician1782 David Haft Physician1783 Gary Heitzler Physician1784 Syed Husain Physician1785 Khalil Innabi Physician1786 Marc Janis Physician1787 Mona Jean Physician1788 Celina John Physician1789 James Joseph Physician1790 Robert Josephberg Physician1791 Anil Joshi Physician1792 David Kahn Physician1793 Jean Kalache Physician1794 Ameet Kamat Physician1795 Neil Katz Physician1796 Michael Kerin Physician1797 Tamir Kharouba Physician1798 Vahan Kouyoumdjian Physician1799 Marshall Kramer Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1800 Olgica Laban-Grant Physician1801 Christos Lambrakis Physician1802 Marcelo Lancman Physician1803 Jose Lantin Physician1804 Boo Lee Physician1805 Jonas Leibowitz Physician1806 David Lent Physician1807 Steven Lin Physician1808 Eric Makolo Physician1809 Slawomir Malendowicz Physician1810 Suanne Mallenbaum Physician1811 Charles Mango Physician1812 Joseph Marino Physician1813 Luay Marji Physician1814 Victor Mascitelli Physician1815 Jolly Mathew Physician1816 Tina Mathews Physician1817 Salah Mesad Physician1818 Daniel Miller Physician1819 Ezatolah Mohajer-Shojai Physician1820 Jodi Mones Physician1821 Marcia Nackenson Physician1822 Robert Nagel Physician1823 Ganga Nair Physician1824 Calvin Natanzon Physician1825 Ronald Neschis Physician1826 Lawrence Neshiwat Physician1827 Gregory Neufeld Physician1828 Randall Owen Physician1829 Bindi Patel Physician1830 Nirav Patel Physician1831 Xiaoming Peng Physician1832 Tadeusz Przechodzki Physician1833 Ammir Rabadi Physician1834 Richard Radna Physician1835 Mark Ramirez Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1836 Rajendra Rampersaud Physician1837 John Rasamny Physician1838 Dwarka Rathi Physician1839 Seema Rathi Physician1840 Dominick Reda Physician1841 David Resnick Physician1842 Salomon Rivera Physician1843 Bennett Rosner Physician1844 Sadia Saboor Physician1845 Robert Samaniego Physician1846 Majed Samarneh Physician1847 Joseph San Fillippo Physician1848 Martin Sayegh Physician1849 Nabil Sayegh Physician1850 Nasem Sayegh Physician1851 Nayel Sayegh Physician1852 Osama Sayegh Physician1853 Ricky Sayegh Physician1854 Sami Sayegh Physician1855 Alan Schrager Physician1856 Michael Schreiber Physician1857 Zahra Shafaee Physician1858 Aneil Shirke Physician1859 Binaya Shrestha Physician1860 Judy Siegel Physician1861 Paula Sims Physician1862 Pushpinder Singh Physician1863 Aloyisius Smith Physician1864 Emad Soliman Physician1865 Eric Spencer Physician1866 Ioannis Stathopoulos Physician1867 Yu Sun Physician1868 Gary Tannenbaum Physician1869 Henry Tannous Physician1870 Neelima Thakur Physician1871 Alfred Tinger Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1872 Mark Tobak Physician1873 Frank Turchioe Physician1874 Osahon Ukponmwan Physician1875 Sudhir Vaidya Physician1876 Mauricio Valdes Physician1877 Gilberto Velez-Domenech Physician1878 Guido Volcovici Physician1879 Richard Wu Physician1880 Ibelli, Vincent Physician1881 Ventrudo, Steven Physician1882 King, Richard Physician1883 Monaco, Domenic Physician1884 Rivera-Galindo, Claudia Physician1885 Fleischer, Lee Physician1886 Rakhlin, Aleksandr Physician1887 Simon, Lawrence Physician1888 Fueg, Adrienne Physician1889 Singh, Paramjeet Physician1890 Svensson, Kenneth Physician1891 Zimmerman, Marc Physician1892 Feldfogel, Howard Physician1893 Fitzpatrick, John Physician1894 Levitt, Bruce Physician1895 O'Dowd, Charles Physician1896 Ferrazzo-Weller, Marissa Physician1897 Cohen, Bradley Physician1898 Komorowski, Anna Physician1899 Lonberg, Mathew Physician1900 March, Robert Physician1901 Rybalova, Irina Physician1902 Joseph, Patricia Physician1903 Nunziato-Ghobashy, Deborah Physician1904 Cuffe, Ronald MD Physician1905 Gerber, Glenn DO Physician1906 Gosselin, Richard R.,MD Physician1907 Gowara, Simon MD Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1908 Gundeck, Ethan MD Physician1909 Haleem, Kamran Physician1910 Harrison, Mark Physician1911 Jafar, Zubair M.,MD Physician1912 Jha, Sanjaya MD Physician1913 Kantaros, Louis W.,MD Physician1914 Kroll, Douglas MD Physician1915 Lee, William MD Physician1916 Levin, Sarah Physician1917 Lichtenberg, Stephen B.,MD Physician1918 Ling, Julie MD Physician1919 Lyons, James Physician1920 Messina, Anthony MD Physician1921 O'Dea, Daniel J.,MD Physician1922 Portelli III, John MD Physician1923 Respass, John MD Physician1924 Solomon, Lawrence W.,MD Physician1925 Varanasi, Sankar N.,MD Physician1926 Weerackody, Harshan I.,MD Physician1927 Weinreich, David J.,MD Physician1928 Yen, Michael H.,MD Physician1929 Lisa Aaron Physician1930 Daniela Balint Physician1931 Susan Boorin Nurse Practitioner1932 Ruddy Calderon Nurse Practitioner1933 Kenneth Kessler Physician1934 Andrew Levin Physician1935 Margarita Munoz-Dummit Physician1936 Lisa Novak Nurse Practitioner1937 Asif Rashid Physician1938 Tirza Santilli Nurse Practitioner1939 Arudi Srihari Physician1940 Daniel Katz Physician1941 Evan Goldfischer Physician1942 Michael Solliday Physician1943 Jason Krumholtz Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1944 Naeem Rahman Physician1945 Paul Pietrow Physician1946 Scott Kahn Physician1947 Walter Parker Physician1948 Jaspreet Singh Physician1949 Praneeth Vemulapalli Physician1950 Paul Pomerantz Physician1951 Kevin Torrens Physicians Assistant practicing in FQ1952 Marylu Williams Nurse_Practitioner1953 Frances Traver Nurse_Practitioner1954 David Boss Physicians Assistant practicing in FQ1955 Megan Wright Nurse_Practitioner1956 Paul D. Salzberg Physician1957 Gary Good Physician1958 Maria Abbattista Physician1959 Basil Abdeljaber Physician1960 John Aidonis Nurse_Practitioner1961 Diane Ainsworth Physician1962 Elizabeth Alderman Physician1963 Goldie Alissandratos Nurse_Practitioner1964 Avishai Alkalay Physician1965 Sheldon Alter Physician1966 Lauren Amenedo Nurse_Practitioner1967 Stephen Andrus Physician1968 Thomas Angello Physician1969 Lawrence Annes Physician1970 Robert Armbruster Physician1971 Rachel Aronow Physician1972 Diane Barbara Nurse_Practitioner1973 Tracey Barnett Nurse_Practitioner1974 Jeffrey Barr Physician1975 Jack Berger Physician1976 Jeffrey Berman Physician1977 Grace Biggs Physician1978 Bryan Blair Physician1979 Christina Blanco Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
1980 Cy Blanco Physician1981 Dimitrios Bliagos Physician1982 Judd Boczko Physician1983 Michael Bookbinder Physician1984 Jared Brandoff Physician1985 Paula Brignoni-Blume Physician1986 Patricia Calayag Physician1987 Annamaria Calleo-Cross Physician1988 Jerry Campanella Physician1989 Elishka Caneva Physician1990 Jessica Capizzi Nurse_Practitioner1991 Stephen Carolan Physician1992 Kimberly Carter Physician1993 Anthony Casale Physician1994 James Cawley Nurse_Practitioner1995 Silvio Ceccarelli Physician
Caleb Charny PhysicianCynthia Chin PhysicianTae Chung PhysicianPatricia Close PhysicianJoseph Cole PhysicianAris Comninellis PhysicianNancy Condro Nurse_PractitionerMichael Contillo PhysicianBarbara Coven PhysicianMichael Cushner PhysicianDavid Cziner PhysicianVirginia Daly PhysicianRanjan Dasgupta PhysicianAndrew Decker PhysicianAvi Deener PhysicianCaroline DeFilippo PhysicianMaura Del Bene Nurse_PractitionerGail DeLasho PhysicianKafui Demasio PhysicianRonald Dennett Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Steve Di Cairano PhysicianBruno DiCosmo PhysicianRosaria DiMarco PhysicianAdnan Diwan PhysicianAthanasios Dousmanis PhysicianJames Doyle PhysicianJulianne Dunne PhysicianLon Easton PhysicianJames Ehrlich PhysicianBonnie Eilen PhysicianAmy Eisenberg Nurse_PractitionerSara Elias PhysicianManuel Esteban-Galindo PhysicianJohn Ettenson PhysicianDaniel Fass PhysicianStuart Feldman PhysicianBarry Feuer PhysicianDonna Field Certified_Nurse_MidwifeJonathan Finegold PhysicianWilmore Finerman PhysicianSteven Fink PhysicianJacob Finkelstein PhysicianMitchell Fishbach PhysicianEric Fishman PhysicianArthur Forni PhysicianRoy Forrest PhysicianAdora-Ann Fou PhysicianAndrew Francella PhysicianTodd Friend PhysicianGary Gabelman PhysicianSandra Ganea PhysicianAmanda Ganem PhysicianDawn Garcen PhysicianDavid Garry PhysicianJuliana Gebb PhysicianGennifer Geller Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Robert Gensure PhysicianSandy George PhysicianMandira Gharekhan PhysicianJoseph Giamelli PhysicianPaul Gleason PhysicianLawrence Gold PhysicianTamar Goldwaser PhysicianJonathan Gordon PhysicianVanessa Grano PhysicianGabriela Grasa PhysicianKatharina Graw-Panzer PhysicianSteven Greenberg PhysicianHerbert Gretz PhysicianEdward Gundy PhysicianKimberly Hall-Gentile Nurse_PractitionerJessica Halprin PhysicianDouglas Hart PhysicianHashem Hashem PhysicianHye Heo PhysicianDavid Herzog PhysicianJordan Hirsch PhysicianJudith Hirsch Nurse_PractitionerDaphne Hsu PhysicianPhilip Huh PhysicianDiana Hurwitz PhysicianAlan Jaffe PhysicianDavid Janeway PhysicianHelen Jhang PhysicianJenifer Johnson PhysicianIrene Jong PhysicianLynn Josephson PhysicianDiana Joy PhysicianNancy Judge PhysicianArun Kalyan-Masih PhysicianRuth Kaminer PhysicianSusan Kaminski Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Barry Kanner PhysicianMorrie Kaplan PhysicianEve Karkowsky PhysicianLenore Katkin PhysicianBarbara Katzeff PhysicianCatherine Keith Certified_Nurse_MidwifeSandra Kesh PhysicianByung Kim PhysicianPreeti Kishore PhysicianRebecca Kleban PhysicianSusan Klugman PhysicianIosif Kolbovsky PhysicianAnthony Korosi PhysicianFrancis Kors PhysicianLawrence Kraftowitz PhysicianEvan Krakovitz PhysicianLeon Kranzler PhysicianErika Krauss PhysicianSteven Kubersky PhysicianCynthia Kucher PhysicianJudith Kulk Nurse_PractitionerMary Lachman PhysicianJill Landis PhysicianElizabeth Legatt PhysicianJay Levat PhysicianAaron Levin PhysicianAlyson Levine PhysicianAnthony Loizides PhysicianRonald London PhysicianJay Lupin PhysicianPreston Lurie PhysicianLaura Macbeth PhysicianJoseph Mahgerefteh PhysicianFatema Malbari PhysicianWilliam Marino PhysicianAlissa Mark Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
William Martimucci PhysicianDiana Mateus PhysicianChristopher Mattern PhysicianCatherine McGovern PhysicianLaura Mechanic PhysicianBarry Meisel PhysicianSteven Meixler PhysicianAudra Mendes Nurse_PractitionerAnthony Mercando PhysicianJennifer Meyer PhysicianAgastin Michael PhysicianSean Misciagna PhysicianMarianne Monahan PhysicianEdward Monk PhysicianBeth Moore PhysicianRichard Morel PhysicianEliot Moshman PhysicianNeelam Narula Nurse_PractitionerJoseph Nasuti PhysicianSam Natarajan PhysicianMaureen Nelligan PhysicianWilliam Nelson PhysicianAmy Newburger PhysicianBarney Newman PhysicianAmanda North PhysicianElizabeth Odierna PhysicianYoung Don Oh PhysicianOnyinye Okpukpara PhysicianCatherine Olko Nurse_PractitionerAnnie Oommen PhysicianMartin Ortiz PhysicianJoseph Paglia PhysicianTerri Parkin Nurse_PractitionerTodd Patton PhysicianAsani Phillips PhysicianGeorge Piccorelli Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Evelyn Placek PhysicianCelina Ponce PhysicianCaitlin Powers Nurse_PractitionerGeorge Prackup PhysicianZorayda Pretto PhysicianWendy Proskin PhysicianPatricia Pugni Nurse_PractitionerClaudia Quinonez PhysicianTina Ranauro Nurse_PractitionerEllen Reinheimer PhysicianJonathan Rie PhysicianMonica Rieckhoff PhysicianAlicia Rieger PhysicianMara Rosner PhysicianEugene Ross PhysicianGary Rothbart PhysicianEileen Sacharski PhysicianLori Saltzman-Gabelman PhysicianRuth Sanchez PhysicianMarisa Santikul Nurse_PractitionerDeborah Scheinthal PhysicianBradford Schiller PhysicianHerbert Schoen PhysicianHeather Schultz PhysicianKenneth Schwartz PhysicianSimeon Schwartz PhysicianCordelia Schwarz PhysicianSusan Seligman-Haas PhysicianVito Sessa PhysicianRenee Sevcik Nurse_PractitionerRoshani Shah PhysicianBarry Shapiro PhysicianNitya Sharma PhysicianSeema Sharma PhysicianArleen Sharpe PhysicianKathleen Shea Nurse_Practitioner
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Katherine Shen PhysicianBruce Sherling PhysicianSadahf Shujauddin Nurse_PractitionerJason Moshe Shuker PhysicianMichael Silver PhysicianBarney Silverman PhysicianRonald Silverman PhysicianRajni Singh PhysicianRand Stack PhysicianRandy Stein PhysicianKenan Stern PhysicianMitchell Stevens PhysicianPeter Stevens PhysicianBrenda Sullivan PhysicianMichael Suzman PhysicianRichard Sweet PhysicianPeter Tesler PhysicianDevi Thangavelu PhysicianCarolyn Thompson PhysicianJohn Thompson PhysicianLori Tindel-Kahn PhysicianGitit Tomer PhysicianAna Tuyama PhysicianJohn Urzi PhysicianMary Vaccaro-Olko Nurse_PractitionerVictor Verma PhysicianFara Vitale PhysicianChristine Vyskocil PhysicianJane Wachs PhysicianJoshua Waldman PhysicianErin Walker PhysicianChristine Walsh PhysicianHarry Weinstein PhysicianPaul Weinstein PhysicianKenneth Weiser PhysicianTodd Weiser Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Jonathan Weiss PhysicianMatthew Weissler PhysicianDiana Wolfe PhysicianMia Wright PhysicianEmanuel Wurm PhysicianJonathan Wynn PhysicianRandee Wysoki PhysicianBarbara Yarwood-Wishner PhysicianLisa Youkeles PhysicianSaryna Young PhysicianElissa Yozawitz PhysicianBilly Yung PhysicianSteven Zabin PhysicianNaureen Zafar PhysicianHarry Zemon PhysicianSunitha Abraham Nurse_PractitionerVitaly Adler PhysicianArchana Alankar PhysicianValerie Alley PhysicianZaid Alrawi PhysicianNezar Al-Shaikhly PhysicianRobert Antonelle PhysicianDebra Appel PhysicianRodney Ashir PhysicianDolores Bacon PhysicianAnnmarie Baldanti PhysicianDaniela Bejinariu PhysicianScott Berman PhysicianCezary Borawski PhysicianJared Brandoff PhysicianJames Bregman PhysicianBenjamin Brown PhysicianRajasekhar Buddhavarapu PhysicianWilliam Buschmann PhysicianGuirlen Cange Nurse_PractitionerCynthia Chin Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Mona Chiniwala PhysicianRonald Cho PhysicianJiyon Chung PhysicianYessenia Ciaramitaro PhysicianDanielle Constantino Nurse_PractitionerDan Costin PhysicianBrenda D'Amico PhysicianVincent D'Amico PhysicianIngrid Deler-Garcia Certified_Nurse_MidwifeDanila Deliana PhysicianBruno DiCosmo PhysicianRene Elkin PhysicianRafik Elsabrout PhysicianMartin Engelhardt PhysicianRebecca Fenichel PhysicianMitchell Fischer PhysicianKevin Fletcher PhysicianEllen Forster Glazier Nurse_PractitionerRegine Fortune PhysicianPaul Fragner PhysicianSeth Gendler PhysicianAndrew Goldfine PhysicianMark Gordon PhysicianMelissa Gottesman PhysicianRichard Gottfried PhysicianKaren Green PhysicianRajesh Gupta PhysicianJoseph Hassan PhysicianMostafa Hassan PhysicianMargaret Holden Nurse_PractitionerAnna Holness PhysicianSubuhee Hussain PhysicianBakhtiar Ishtiaq PhysicianLalitha Iyer PhysicianJoan Jablow Nurse_PractitionerFarrukh Jafri Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Jesus Jaile-Marti PhysicianSanjeev Jain PhysicianMarguerite Katt Nurse_PractitionerJames Keating PhysicianLesa Kelly PhysicianNabil Khoury-Yacoub PhysicianOksana Kostko PhysicianHeather Kramer Nurse_PractitionerRichard Langone PhysicianErik Larsen PhysicianCarol Lederman PhysicianJean Lesko PhysicianAngela Liu PhysicianAnthony Loiacono PhysicianLori Madmon PhysicianAfshan Malik PhysicianCheryl Malina PhysicianJanet Maltez PhysicianNeritan Mani PhysicianAnney Amma Mannancheril PhysicianRichard Marino PhysicianDaniel Markowicz PhysicianCigi Mathew Nurse_PractitionerJeffrey Mayer PhysicianKevin Meacham PhysicianLoredana Militaru PhysicianLucille Milne Certified_Nurse_MidwifeSunny Mitchell PhysicianWaheeda Mithani PhysicianFarzaneh Mohammadi PhysicianJacqueline Monaco-Bavaro PhysicianJulie Monroe PhysicianTzu Moy PhysicianFredric Neuman PhysicianMirjam Norris-Nommensen Nurse_PractitionerMichael Padial Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Michael Palumbo PhysicianAnupama Pani PhysicianSudha Parashar PhysicianKaren Pechman PhysicianAngela Pereira PhysicianJoshua Raff PhysicianGenevieve Rebuffot PhysicianElaina Rudolph Nurse_PractitionerSara Sadan PhysicianPaul Sasso PhysicianJennifer Schelker PhysicianMichelle Schmitt Nurse_PractitionerMichael Schwartz PhysicianShon Sebastian PhysicianSwati Sehgal PhysicianGerges Seifen PhysicianMatthew Shafiroff PhysicianKathryn Siao PhysicianSamir Sidani PhysicianRakesh Singh PhysicianTejinderpal Singh PhysicianRobert Small PhysicianLaura Spano-Young PhysicianRobert Streisand PhysicianGregory Stryjewski PhysicianAngela Sturdivant PhysicianWilliam Suggs PhysicianHengameh Tadbiri Nurse_PractitionerAlbena Tasholova PhysicianMini Thomas Nurse_PractitionerAkira Todo PhysicianUte Traugott PhysicianReeja Vembenil PhysicianVictoria Vogel-Blumenthal PhysicianVivian Volterre PhysicianRochelle Waldman Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Carl Weber PhysicianKaare Weber PhysicianPhilip Weber PhysicianTodd Weiser PhysicianKaren Weissler PhysicianAdam Whitehead PhysicianMaria Wing PhysicianKimberly Yee PhysicianJoli Yuknek PhysicianYael Zack PhysicianEric Zitzmann PhysicianChandrasekhara, Lalitha PhysicianChandrasekhara, Muthaiah PhysicianKamthan, Mridula PhysicianKathpalia, Salia PhysicianLaguerre, Jules PhysicianQayyum, Abdul PhysicianLarkin, Roland Nurse_PractitionerPiccolo, Elizabeth Nurse_PractitionerHighley, Jennifer Nurse_PractitionerGoodemote, Melissa Nurse_PractitionerSalvato, Tatiana Nurse_PractitionerSellinger, Shelley PhysicianBruce Ellsweig Physician- Primary CareJoy Black Physician- Primary CareShewli Roy Physician- Primary CareElliott Mitnik Physician- SurgeryDavid Cornell Physician- SurgeryDaniel Galvin Physician- SurgeryColleen Minnock Nurse_PractitionerMurali Krishna PhysicianEmma Fattahkov PhysicianQuazi S. Al-Tariq PhysicianShreyas I. Baxi PhysicianNambi Salgunan PhysicianBalveen Singh Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Alison Sullivan PhysicianPaul Chellappa PhysicianGail Bailey-Wallace PhysicianLorraine Allegro-Skinner Physician- Primary CareLori Sidorski-Nutt Nurse_PractitionerKhin Myo PhysicianKhin Soe PhysicianPhone Win PhysicianSam Berger Nurse_PractitionerRobert Kahn Nurse_PractitionerEthan Singer Nurse_PractitionerAbis, Michelle J. PhysicianAlyea, Sonya Nurse_PractitionerArandia, Ira Nurse_PractitionerArnold, Shaye Certified_Nurse_MidwifeBaez, Jose E PhysicianBerger, Renee S Certified_Nurse_MidwifeBloch, Dean PhysicianBollmann, Ann P Certified_Nurse_MidwifeBrooks, Francine H PhysicianCarlino, Richard PhysicianCho, David S PhysicianChoi, John J PhysicianChristiana, Joseph W PhysicianCollins, Timothy PhysicianConnery, Cliff PhysicianCowgill , Molly PhysicianD'Ambrosio, Anthony W PhysicianDenney, Julie W Certified_Nurse_MidwifeDelgado, Ruben PhysicianDer Cola, Kelly PhysicianDiMarco, Tracie PhysicianDougherty, Eugene Physician AssistantFarber, Lee PhysicianFoster, Teresa PhysicianGold, Lisa G Nurse_Practitioner
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Hammoud, Ali PhysicianHarrison, Hillary PhysicianHatter, Jeffrey PhysicianHeffernan, William PhysicianHeisey, Baron Physician AssistantHeller, Kimberly A PhysicianIsabell, Lee PhysicianJee, Paul Y PhysicianJindal, Vikas PhysicianJohnson, Ann S Nurse_PractitionerKabbash, Barbara PhysicianKasello, Donna PhysicianKeleher, Angela PhysicianKemp,Sharagim S PhysicianKrakower,Martin PhysicianKyle, Alexa N Physician AssistantLindor (Antoine), Nirva M. PhysicianMadoff, Stacey A. PhysicianMaggio-Silverman, Cynthia Nurse_PractitionerMahmud, Saeeda A. PhysicianMarkarian, Marylinn PhysicianMastrocola, Nancy PhysicianMcDowell, Meredith B. PhysicianMcNulty, John F. PhysicianMeltzer, Eileen Nurse_PractitionerMilchtein, Ekaterina PhysicianMurray, Thomas M. PhysicianNathan, Ely B. PhysicianNitzkorski, James R PhysicianOsawe, Obosa N. PhysicianPark, Hang Kyu PhysicianPassano, Jill Nurse_PractitionerPerkins, Susan M Nurse_PractitionerRinzler, Cinnamon Physician AssistantRissman, Randall PhysicianRojas, Rolando J. Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Rosensweig, Nancey B. Certified_Nurse_MidwifeSalem, Azzam M. PhysicianSarabu, Mohan R. PhysicianShahani, Rohit PhysicianSimmons, Tayler Physician AssistantStamberg, Eric PhysicianSteenbergen, Mark A PhysicianStelmack, Victor R. PhysicianStent, Sabrina Nurse_PractitionerStern, Robert PhysicianSuseelan, Hary PhysicianThomas, Sanjay PhysicianTurk, Jed PhysicianValentine -Chase,Jeanne Nurse_PractitionerWang, John J PhysicianWing,James PhysicianWinterleitner, Sara Nurse_PractitionerWise, James PhysicianWolfsberger, Gabrielle J. PhysicianWoo, Sunhee D. PhysicianYermak, Yelena PhysicianZakow, Peter PhysicianZanieski, Gregory J. PhysicianZolnik, Lawrence A. PhysicianAlexander CPNP, Frances Nurse_PractitionerAli MD DO, Khorsheda PhysicianAlicea RDH, IvetteAllen MD, Carol PhysicianAllen RDH, KarenAye MD, Zaw Zaw PhysicianBell DDS, Terri Lynn DentistBerman DMD, Mark DentistBicocchi NP, Lydia Nurse_PractitionerBishop CNM, Katherine Certified_Nurse_MidwifeBodnar MD, Chelsea PhysicianBoltin NP, Patricia Nurse_Practitioner
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Boris DDS, Robert DentistBrescia MD, Andrea PhysicianBrooks CNM, Janet Certified_Nurse_MidwifeBussey MD, Lester PhysicianCall MD, Elizabeth PhysicianCallaghan DDS, Steven DentistCamille MD, Irvelyne PhysicianCampbell CNM, Sofia Certified_Nurse_MidwifeCappelleri MD, Dominic PhysicianCaro MD, Edgar PhysicianCharles MD, Meedlen PhysicianChaudhry DDS, Sheeba DentistChinea MD, Carmen PhysicianCocucci MD, Hugo PhysicianCombellick CNM, Joan Certified_Nurse_MidwifeCorjulo CNM, Megan Certified_Nurse_MidwifeCorsaro CNM, Maria Certified_Nurse_MidwifeCuebas CNM, Luisette Certified_Nurse_MidwifeDesa MD, Kenneth PhysicianDhanyamraju MD, Sumitra PhysicianDinsmore MD, Ronald PhysicianDunn DDS, Sarah DentistDweck MD, Robert PhysicianElmore DO, Dillard PhysicianEpemolu DDS, Olaniyi DentistFigueroa PA, JeanetteGabriel FNP, Hyerim Nurse_PractitionerGamarnik MD, Paul PhysicianGeorge MD, Christopher PhysicianGifford PA, BrookeGilgoff CNM, Alice Certified_Nurse_MidwifeGray DDS, Sonia DentistGrimes NP, Catherine Nurse_PractitionerGruber MD, Regina PhysicianGrundig RDH, DanielleGruszko MD, Adrian Physician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Guzman MD, Romulo PhysicianHames DDS, Clifford DentistHoolihan MD, Eunice PhysicianJaffe MD, Joshua PhysicianJean-Louis MD, Florence PhysicianJenks NP, Nancy Nurse_PractitionerJulien-Banica DO, Jehanne PhysicianKavuri DDS, Jyothi DentistKaye MD, Paul PhysicianKerr MD, Christine PhysicianKhemraj MD, Jaime PhysicianKhushalani MD, Sarla PhysicianKumar DDS, Joseph DentistLabrenz MD, Bryon PhysicianLindenmeyr NP, Louise Nurse_PractitionerLodhi MD, Sadaf PhysicianLombardi Desa MD, Liliana PhysicianLouis FNP, Emmanise Nurse_PractitionerLouis-Paul MD, Rodolphe PhysicianLynch CNM, Cynthia Certified_Nurse_MidwifeMaddalena DDS, Gregory DentistMaddalena MD, Amy PhysicianMahoney CNM, Patricia Certified_Nurse_MidwifeMalara FNP, Kathleen DentistMaloney DDS, Maura DentistMathew DMD, Rekha DentistMcAllister MD, Dawn PhysicianMcIntyre MD, Sophia PhysicianMidwood DO, Dorinda PhysicianMieszerski MD, Laura PhysicianMiller MD, Daniel PhysicianMorse NP, Joyce Nurse_PractitionerMortman MD, Howard PhysicianMunro MD, Kimberly PhysicianNoguera-Coughlan MD, Luisa PhysicianOates RDH, Nichole
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
OBrien FNP, Norma Nurse_PractitionerOchs RDH, LisaOrtquist CNM, Brynne Certified_Nurse_MidwifePapadopoulos DMD, Chrisoula DentistParapurath MD, Jyothi PhysicianPongnon MD, Sheila PhysicianRaker Resident, CourtneyRamsey MD, Kelly PhysicianRazmzan MD, Shahram PhysicianRieper DO, Leigh PhysicianRommeney Resident, MarisaSanchez MD, Angela PhysicianSanghvi MD, Neha PhysicianSax FNP, Kenneth Nurse_PractitionerSchnurr MD, Robert PhysicianSchulsinger DDS, Robert DentistSeibert MD, Katherine PhysicianSimpkins MD, Vergenia PhysicianSimpson DO, Sonia PhysicianSosenko-Porytko NP, Christine Nurse_PractitionerStraebler FNP, Mary Ellen Nurse_PractitionerStraus MD, Lisa PhysicianStucker DDS, Derik DentistTai MD, Nhan PhysicianTandra MD, Suneela PhysicianTantri NP, Rachel Nurse_PractitionerTatsapaugh NP, Gloria Nurse_PractitionerThan MD, Than PhysicianTimell MD, Anna PhysicianTocco MD, Amy PhysicianToner MD, Laura PhysicianVelez Phillips MD, Madeline PhysicianWalker MD, David PhysicianWang CNM, Theresa Certified_Nurse_MidwifeWelch-Philp MD, Sharon PhysicianWells NP, Barbara Nurse_Practitioner
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
Wilson DDS, Errol DentistWoo MD, Mary PhysicianZhou MD, Rao PhysicianDoug Waite pediatricianTraci Gardner pediatricianMichelle Fumagalli pediatric nurse practitionerPavlos Kymissis psychiatristRobert Miller psychiatristElizabeth Ortiz-Schwartz psychiatristGurjeet Dhallu psychiatristJennifer Petras psychiatristMinesh Patel psychiatristBrooke Balchan pediatrician
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
2.3) IPA/Physicians - Contact Information
Certified_Nurse_Midwife
DentistNurse_Practitioner
Physician
1 2
Physician Name
Physicians Type: ONLY choose from the following:
Physicians Assistant practicing in FQHC or RHC led by a PA
Physician Type (See Instructions)
19961997199819992000
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # County
Individual No 1326127218 02843763 050522 WestchesterIndividual No 1376767236 01272504 040549 WestchesterIndividual No 1326131236 02551733 049672 WestchesterIndividual No 1386767119 01296482 043469 WestchesterIndividual No 1255446225 01804631 044706 WestchesterIndividual No 1396897336 01768092 046219 WestchesterIndividual No 1821106246 00891869 039129 WestchesterIndividual No 1427137876 00701771 035071 WestchesterIndividual No 1720164890 02791817 050887 WestchesterIndividual No 1922111087 00888380 037156 UlsterIndividual No 1427096635 00440322 031130 WestchesterIndividual No 1942570734 00506267 024685 WestchesterIndividual No 1114060753 01512849 040110 WestchesterIndividual No 1083784250 02735500 F333722 RocklandIndividual No 1649356916 02944645 F381690 WestchesterIndividual No 1619045408 02040691 F380051 WestchesterIndividual No 1619047800 02321268 F332672 WestchesterIndividual Yes 1548367188 02851072 F381562 OrangeIndividual Yes 1932203239 01942507 F331817 WestchesterIndividual No 1801850391 02589311 F301545 WestchesterIndividual Yes 1942200613 01912078 F302580 WestchesterIndividual No 1902077175 03025376 F335181 WestchesterIndividual Yes 1225334329 03323439 F336623 OrangeIndividual Yes 1992973929 02956605 F381451 WestchesterIndividual No 1992903983 03107540 F381894 WestchesterIndividual No 1407884828 02770496 F334738 WestchesterIndividual No 1457503013 03151439 F382019 OrangeIndividual No 1396815577 02657427 F331952 WestchesterIndividual No 1477708196 03078544 F335752 WestchesterIndividual No 1639493935 03213994 F335986 WestchesterIndividual Yes 1811141526 03059469 F381872 WestchesterIndividual No 1942556030 03525711 F430669 WestchesterIndividual No 1427229913 02978283 F304461 WestchesterIndividual No 1457475006 02795357 F350094 WestchesterIndividual Yes 1306927736 02076979 F302598 WestchesterIndividual No 1972561777 02054566 F301517 Westchester
Individual OR Group Name
SN Qualified (Y/N)
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588814784 03132345 F335465 WestchesterIndividual No 1376628495 03418908 F331520 WestchesterIndividual No 1407115900 03459381 F305750 WestchesterIndividual Yes 1962687236 02388892 F333055 WestchesterIndividual No 1184806788 02041349 F330697 WestchesterIndividual No 1093806960 02948805 F331369 WestchesterIndividual No 1588757728 02741784 F302793 WestchesterIndividual Yes 1760482442 01903699 F330507 WestchesterIndividual No 1932285889 02778265 F350140 WestchesterIndividual No 1316242480 03717360 F336210 WestchesterIndividual No 1801813340 02443185 F333636 WestchesterIndividual No 1457335176 02210259 F333206 WestchesterIndividual No 1891810164 03019505 F333293 WestchesterIndividual No 1801115696 03254991 F336230 WestchesterIndividual No 1780658179 02367559 F331921 WestchesterIndividual No 1396845798 00305564 114927 WestchesterIndividual No 1760499974 01888224 186425 WestchesterIndividual No 1861632994 03618242 269267 WestchesterIndividual Yes 1356445779 01102047 167007 WestchesterIndividual No 1588667083 02344021 255014 WestchesterIndividual No 1285601914 02097818 219201 WestchesterIndividual No 1235242728 00914618 147793 WestchesterIndividual No 1912115023 03050502 243051 WestchesterIndividual No 1720049596 02318147 224498 WestchesterIndividual No 1295850477 01132741 169131 WestchesterIndividual No 1962464594 01605527 192587 WestchesterIndividual No 1386657997 01239716 174030 WestchesterIndividual No 1447219795 02188136 218978 WestchesterIndividual Yes 1053407700 02908047 241027 WestchesterIndividual Yes 1801896774 02551682 225547 WestchesterIndividual No 1467555458 01719713 193784 WestchesterIndividual No 1811956162 00953200 155970 WestchesterIndividual No 1962494997 02958327 243670 WestchesterIndividual No 1932362530 03374105 260056 OrangeIndividual No 1255478517 03345493 247990 WestchesterIndividual Yes 1891753000 02746656 237185 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1376646364 03483070 238609 WestchesterIndividual Yes 1497724496 02574954 219858 WestchesterIndividual No 1134108475 00487509 100645 WestchesterIndividual No 1285659649 02784921 240456 WestchesterIndividual No 1497839492 00897989 101804 WestchesterIndividual No 1679525018 00222293 119002 WestchesterIndividual Yes 1558447821 01358061 176809 WestchesterIndividual Yes 1629224159 03133135 252502 WestchesterIndividual No 1770543035 02203469 215433 WestchesterIndividual No 1811148612 03255603 243856 WestchesterIndividual Yes 1114143492 02888806 243410 WestchesterIndividual No 1053370304 00823056 147201 WestchesterIndividual No 1700892056 00856193 159775 WestchesterIndividual Yes 1609816578 02593671 230652 WestchesterIndividual No 1508959735 01022128 169055 WestchesterIndividual No 1063674448 03505328 266644 WestchesterIndividual Yes 1154382885 01500563 188342 WestchesterIndividual No 1265712129 03603289 264433 WestchesterIndividual No 1003839630 02426520 228459 WestchesterIndividual No 1609851690 01355962 183668 WestchesterIndividual Yes 1790851467 02986294 243845 WestchesterIndividual No 1437116746 00599826 139555 WestchesterIndividual Yes 1326129339 02734063 222949 WestchesterIndividual No 1952500456 02898442 244540 WestchesterIndividual Yes 1770521973 03126932 253027 WestchesterIndividual No 1003977745 01848580 152128 WestchesterIndividual Yes 1831279314 01621383 149981 WestchesterIndividual No 1992744668 00238835 130435 WestchesterIndividual Yes 1376557652 01510498 193181 WestchesterIndividual Yes 1396746087 02313362 220346 WestchesterIndividual Yes 1194988949 03347591 260846 WestchesterIndividual No 1427144476 02051650 205231 WestchesterIndividual No 1043380157 01221594 125930 WestchesterIndividual No 1114977998 02780138 226923 WestchesterIndividual No 1184838831 03391917 249267 WestchesterIndividual No 1932216512 00787242 155093 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588719892 00950472 162979 WestchesterIndividual No 1356530539 02960089 246562 WestchesterIndividual No 1013162361 03625523 270287 WestchesterIndividual Yes 1447346408 01618253 196315 WestchesterIndividual No 1437382033 03604368 269186 WestchesterIndividual No 1992787121 02161099 203666 WestchesterIndividual No 1710913009 02726938 193074 WestchesterIndividual No 1568460491 01974354 209680 WestchesterIndividual Yes 1568542041 02063665 216626 WestchesterIndividual Yes 1174592455 01500994 195457 WestchesterIndividual No 1780669986 02887089 238764 WestchesterIndividual No 1972601862 00612006 142359 OrangeIndividual No 1164519534 00517226 114971 WestchesterIndividual No 1700922374 00180507 103905 WestchesterIndividual No 1518248509 03505135 266274 WestchesterIndividual No 1689837429 03057967 255918 WestchesterIndividual No 1427038603 00179319 103293 WestchesterIndividual Yes 1376759019 02643263 227618 WestchesterIndividual Yes 1497862346 02584843 203045 WestchesterIndividual No 1306935622 02134536 161800 WestchesterIndividual No 1871686014 00840166 146597 WestchesterIndividual Yes 1093895658 02794856 224284 WestchesterIndividual Yes 1912080938 01558016 174305 WestchesterIndividual Yes 1093886475 02393906 215551 WestchesterIndividual No 1548431687 03026946 247593 WestchesterIndividual No 1548203995 00834693 135052 WestchesterIndividual No 1225215031 02948236 234227 RocklandIndividual No 1093808255 01839638 174380 WestchesterIndividual No 1164515102 01721484 186478 WestchesterIndividual No 1750679882 03586812 254192 WestchesterIndividual Yes 1376625525 00637756 118178 WestchesterIndividual No 1992734404 02548772 231722 OrangeIndividual No 1083795249 00380410 093496 WestchesterIndividual No 1376526939 01425185 182499 WestchesterIndividual No 1164485538 01063203 164797 WestchesterIndividual No 1780777920 02226768 223571 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual Yes 1376623850 01612688 199717 WestchesterIndividual Yes 1679796999 03363664 223783 WestchesterIndividual No 1629149562 00222440 119037 WestchesterIndividual No 1871553768 00796598 128075 WestchesterIndividual No 1124000674 02010295 146892 WestchesterIndividual Yes 1831113521 02290559 222482 WestchesterIndividual No 1013164201 03241458 233889 WestchesterIndividual Yes 1760456933 00464888 131308 WestchesterIndividual Yes 1669638409 03347257 249825 WestchesterIndividual No 1861578197 00538918 124830 WestchesterIndividual No 1851469035 02639274 002331 WestchesterIndividual No 1417000498 02238484 217852 WestchesterIndividual No 1760406847 00366303 120948 WestchesterIndividual No 1457342123 00914645 142450 WestchesterIndividual Yes 1588714752 01632975 191249 WestchesterIndividual No 1588636732 02420804 223385 WestchesterIndividual No 1255312518 01788870 202436 WestchesterIndividual Yes 1326107418 02861567 254770 WestchesterIndividual No 1609147511 01503084 099770 WestchesterIndividual Yes 1831163567 00957635 159626 WestchesterIndividual Yes 1457436131 02409727 225188 WestchesterIndividual Yes 1356517122 03480095 264782 WestchesterIndividual No 1881705838 00826499 137196 WestchesterIndividual No 1407883937 00277858 133637 WestchesterIndividual No 1487768461 02096582 218304 WestchesterIndividual No 1952315384 00427541 138853 WestchesterIndividual Yes 1013014836 01572765 193257 WestchesterIndividual No 1235192923 02807821 231609 WestchesterIndividual Yes 1144478496 03117700 242042 WestchesterIndividual No 1093890485 01652042 181113 WestchesterIndividual No 1720171952 01618675 178872 WestchesterIndividual No 1598955403 03050626 249982 WestchesterIndividual No 1619959327 02210837 212859 WestchesterIndividual Yes 1225126774 01652033 198356 WestchesterIndividual No 1497848634 01201023 168792 WestchesterIndividual No 1346378973 02858937 260579 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1841386299 00194110 109441 WestchesterIndividual No 1548246036 00949871 153589 WestchesterIndividual No 1619075389 00215852 116535 WestchesterIndividual No 1699942318 02990518 248581 WestchesterIndividual No 1194813113 00767657 135509 WestchesterIndividual No 1972674760 02697818 250547 WestchesterIndividual No 1255666194 02244580 223144 WestchesterIndividual Yes 1558558452 02924367 250358 WestchesterIndividual No 1528075413 02678522 236826 WestchesterIndividual No 1679511356 03146756 245013 WestchesterIndividual Yes 1174592067 03064844 261835 WestchesterIndividual No 1427095785 00743320 124277 WestchesterIndividual No 1164452009 01852419 155458 WestchesterIndividual No 1225052285 02310869 153691 WestchesterIndividual No 1780666883 01749802 192141 WestchesterIndividual No 1457437725 00989464 139790 WestchesterIndividual No 1790794303 01768529 188887 WestchesterIndividual No 1902975154 00542961 123899 WestchesterIndividual No 1558508275 03517219 251393 WestchesterIndividual No 1528085149 01407872 179125 WestchesterIndividual No 1922067925 01251270 171847 WestchesterIndividual No 1730308347 00113979 080194 WestchesterIndividual No 1023011327 02011663 196211 WestchesterIndividual No 1639315153 03218444 256445 WestchesterIndividual No 1831311877 03146687 229470 WestchesterIndividual No 1164562245 03537271 261414 WestchesterIndividual No 1467569053 01446208 194069 WestchesterIndividual Yes 1518018076 03226157 240674 WestchesterIndividual No 1386995983 03505213 266857 WestchesterIndividual No 1083869226 03119257 252856 WestchesterIndividual Yes 1851477954 02993153 236105 WestchesterIndividual Yes 1730205279 02219170 223857 WestchesterIndividual Yes 1699931600 03078562 273089 WestchesterIndividual No 1427078310 01014460 150384 WestchesterIndividual No 1194790014 01347704 171339 WestchesterIndividual No 1700967130 02151944 212003 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1669570453 00193884 109342 WestchesterIndividual No 1619077856 01356298 178563 WestchesterIndividual Yes 1174615843 01839436 167371 WestchesterIndividual No 1700929809 00582738 141121 WestchesterIndividual Yes 1538386115 02888402 228807 WestchesterIndividual No 1255424495 02796578 229472 WestchesterIndividual Yes 1720168206 02230440 193321 WestchesterIndividual No 1023126729 01860668 193451 WestchesterIndividual No 1306893227 00841667 150037 WestchesterIndividual No 1811928138 00517299 092732 WestchesterIndividual Yes 1063677094 03047569 249551 WestchesterIndividual Yes 1982704169 03255658 251872 WestchesterIndividual No 1467685800 03214826 253779 WestchesterIndividual No 1093799397 00702869 145122 WestchesterIndividual Yes 1912199688 03415405 273096 WestchesterIndividual No 1215294640 03483621 265265 WestchesterIndividual No 1538100722 01497227 181661 WestchesterIndividual Yes 1447202338 03117333 253154 WestchesterIndividual Yes 1457431934 02585179 231126 WestchesterIndividual No 1598869810 00485194 122452 WestchesterIndividual No 1235281866 01752414 189852 WestchesterIndividual No 1528146586 01173591 171055 WestchesterIndividual No 1962476515 00494995 128509 WestchesterIndividual No 1467468637 01565695 195140 WestchesterIndividual No 1083608186 00509086 137174 WestchesterIndividual No 1275613754 00965513 164310 WestchesterIndividual No 1427141696 01749811 203648 WestchesterIndividual No 1417972928 00637090 132575 WestchesterIndividual No 1427141605 01143897 163462 WestchesterIndividual No 1477617843 02252028 204985 WestchesterIndividual No 1952540460 03504414 266193 WestchesterIndividual Yes 1710024955 02269730 224174 WestchesterIndividual No 1124091442 01991937 206069 WestchesterIndividual No 1366559817 00142847 090394 WestchesterIndividual No 1538321542 03588149 269932 WestchesterIndividual No 1871671214 01990174 201435 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588872873 03480908 257168 WestchesterIndividual No 1962441022 02180610 209452 WestchesterIndividual No 1659469641 00347411 112796 WestchesterIndividual Yes 1588708622 02863481 238959 WestchesterIndividual Yes 1114941325 02781780 240054 WestchesterIndividual No 1588805915 03347239 250341 WestchesterIndividual No 1407949647 01153593 161316 WestchesterIndividual No 1093842189 00437747 139897 WestchesterIndividual No 1518231075 00229612 122116 WestchesterIndividual No 1598826729 01958070 212529 WestchesterIndividual Yes 1922188580 02597588 217183 WestchesterIndividual Yes 1154381911 00907951 145400 WestchesterIndividual No 1922123074 01371237 171455 WestchesterIndividual Yes 1801976386 02397395 240271 WestchesterIndividual No 1336136993 00238615 129957 WestchesterIndividual No 1700838620 02178669 216902 WestchesterIndividual No 1487728317 01454484 187890 WestchesterIndividual No 1417949421 02164767 220558 WestchesterIndividual No 1922004241 01578298 178695 WestchesterIndividual No 1912981507 01839867 182268 WestchesterIndividual Yes 1558524751 03254735 243742 WestchesterIndividual No 1528343498 03504592 264895 WestchesterIndividual No 1033103007 01010764 144847 WestchesterIndividual Yes 1720159106 01837934 195044 WestchesterIndividual No 1396715116 00858728 153843 WestchesterIndividual No 1316100159 03046242 256403 WestchesterIndividual Yes 1003850975 02411163 202060 WestchesterIndividual No 1699984682 02881276 243694 WestchesterIndividual No 1003989757 00669498 141854 WestchesterIndividual Yes 1386629921 02149333 202806 WestchesterIndividual No 1578555363 00437307 111247 WestchesterIndividual No 1750341921 01501564 175505 WestchesterIndividual No 1447485941 03247101 253013 WestchesterIndividual No 1932200854 00599862 120656 WestchesterIndividual No 1720036833 01839858 182149 WestchesterIndividual No 1245341759 00959068 149870 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588639389 01694944 172283 WestchesterIndividual No 1225121460 01487489 192548 WestchesterIndividual No 1821085481 03264500 220051 WestchesterIndividual Yes 1891875373 02186267 198559 WestchesterIndividual Yes 1033323951 03233254 257194 WestchesterIndividual No 1396766010 01028757 164504 WestchesterIndividual No 1114128964 03023970 249074 WestchesterIndividual No 1801980495 02933599 243895 WestchesterIndividual No 1972673937 02900461 232816 WestchesterIndividual No 1073715108 03151677 253587 WestchesterIndividual No 1780908368 03224260 246245 WestchesterIndividual No 1639169527 03122887 197359 WestchesterIndividual Yes 1699855171 00437641 125935 WestchesterIndividual No 1679897185 03233281 255874 WestchesterIndividual No 1376647800 00770425 153848 WestchesterIndividual Yes 1023018926 02553693 231044 WestchesterIndividual No 1336139682 00762730 138456 WestchesterIndividual No 1578542296 00279676 121222 WestchesterIndividual No 1881611846 00908003 143888 WestchesterIndividual Yes 1225174188 01725199 165553 WestchesterIndividual No 1104988187 01068024 166369 WestchesterIndividual No 1417102849 03503844 265431 WestchesterIndividual No 1114943552 02721722 223303 WestchesterIndividual Yes 1235219718 02194461 221668 WestchesterIndividual Yes 1356421812 02009492 214124 WestchesterIndividual No 1437582988 03688240 270667 WestchesterIndividual No 1083874226 03047110 248946 WestchesterIndividual No 1770568990 02545128 227400 WestchesterIndividual No 1083699508 02887070 240436 WestchesterIndividual Yes 1558427930 02903217 230174 WestchesterIndividual No 1922395201 03712530 259995 WestchesterIndividual Yes 1457358301 00903939 155370 WestchesterIndividual No 1679668370 01532190 197326 WestchesterIndividual No 1215929054 01856633 207127 WestchesterIndividual No 1528206166 03104565 230532 OrangeIndividual No 1013996990 02760910 213813 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual Yes 1659304541 02795875 240667 WestchesterIndividual No 1134212376 02528898 216227 WestchesterIndividual Yes 1558427492 00695529 115089 WestchesterIndividual No 1881646552 01728289 193564 WestchesterIndividual Yes 1962714931 03254771 245690 WestchesterIndividual No 1730110388 02659832 232091 WestchesterIndividual Yes 1922077510 00781957 135604 WestchesterIndividual Yes 1992741151 01337911 148174 WestchesterIndividual No 1285600080 01488655 195450 OrangeIndividual No 1477552065 02598754 257181 WestchesterIndividual No 1982760427 00944087 133571 WestchesterIndividual No 1902982085 01838297 093039 WestchesterIndividual No 1306939541 02796409 229035 WestchesterIndividual No 1063424018 01852771 135286 WestchesterIndividual Yes 1457440703 00198178 110785 WestchesterIndividual Yes 1336361070 03381266 261171 WestchesterIndividual No 1831138304 01184647 143907 PutnamIndividual No 1821109885 01849949 202529 WestchesterIndividual Yes 1265536684 00146534 091516 WestchesterIndividual No 1497750673 01089087 175307 WestchesterIndividual No 1174539605 01363579 189333 WestchesterIndividual No 1598823023 02472457 212211 WestchesterIndividual No 1922043264 01135060 150420 WestchesterIndividual No 1538307160 03233185 256658 WestchesterIndividual No 1477576064 03413650 245786 WestchesterIndividual Yes 1700966264 01433467 181263 WestchesterIndividual No 1265664692 03638391 251142 WestchesterIndividual No 1831139237 00490331 120829 WestchesterIndividual Yes 1104885201 01182172 163439 WestchesterIndividual No 1629168588 00627216 143275 WestchesterIndividual No 1356784961 03652173 269597 WestchesterIndividual No 1124107784 00973648 167708 OrangeIndividual No 1346248960 00138087 087763 WestchesterIndividual No 1487654596 01850820 160340 WestchesterIndividual No 1538180252 02667554 219780 WestchesterIndividual Yes 1427139856 02688677 225839 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1639262876 02695545 221607 WestchesterIndividual No 1639262868 01179313 158161 WestchesterIndividual No 1063496149 03167631 254220 WestchesterIndividual No 1932481546 03615643 270011 WestchesterIndividual No 1750393716 01852900 168927 WestchesterIndividual Yes 1578563466 01565099 181083 WestchesterIndividual Yes 1376583492 02143873 179243 WestchesterIndividual No 1801966361 01726067 196422 WestchesterIndividual Yes 1093715989 01270942 182835 WestchesterIndividual No 1508846585 01553406 191824 WestchesterIndividual Yes 1790943546 03021827 229270 WestchesterIndividual Yes 1215018643 02427356 241946 WestchesterIndividual Yes 1528068434 01428115 192755 WestchesterIndividual Yes 1124117650 01706376 184327 WestchesterIndividual No 1801981436 01716325 195084 WestchesterIndividual Yes 1083892376 02989384 242684 WestchesterIndividual No 1598727836 02358547 224869 WestchesterIndividual Yes 1689791287 02881854 236441 WestchesterIndividual No 1629044201 01694953 168757 WestchesterIndividual Yes 1235298688 02665103 229755 WestchesterIndividual No 1881779247 01386401 184957 WestchesterIndividual No 1649336199 00916789 151988 WestchesterIndividual No 1194767525 00709311 150084 WestchesterIndividual No 1790719615 01507088 196246 WestchesterIndividual No 1932215332 01137851 168440 WestchesterIndividual No 1598875650 02445132 228207 WestchesterIndividual Yes 1114933108 00596589 135723 WestchesterIndividual Yes 1700886983 02578476 230302 WestchesterIndividual No 1801095369 03473609 264736 WestchesterIndividual No 1558509505 03603312 267887 WestchesterIndividual No 1477692440 01292873 139540 RocklandIndividual No 1588663652 00192205 108613 WestchesterIndividual Yes 1699855155 02640559 232577 WestchesterIndividual No 1336206432 01357208 120263 WestchesterIndividual Yes 1326128885 00994312 168563 WestchesterIndividual No 1235333980 03484728 264768 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1821108861 01607390 193986 WestchesterIndividual No 1043303282 02733219 235199 WestchesterIndividual No 1396849733 00138885 088055 WestchesterIndividual No 1497848600 01723028 164990 WestchesterIndividual No 1699870675 00193540 109177 WestchesterIndividual No 1699858852 00503535 120339 WestchesterIndividual Yes 1043390693 02052817 194273 WestchesterIndividual No 1437307808 03406508 249799 WestchesterIndividual No 1952341364 01027343 155736 WestchesterIndividual Yes 1366763799 03241430 257344 WestchesterIndividual No 1831392372 03363444 261851 WestchesterIndividual No 1811052590 03116387 250609 WestchesterIndividual No 1720180524 00900349 156794 WestchesterIndividual No 1821268442 02989417 243121 WestchesterIndividual Yes 1386749935 01579226 193612 WestchesterIndividual No 1891941183 03052215 249690 WestchesterIndividual No 1790855997 01838926 150927 WestchesterIndividual Yes 1174627590 00961211 150761 WestchesterIndividual No 1992742621 03130614 248133 WestchesterIndividual Yes 1083718407 02657174 232974 WestchesterIndividual No 1750608030 03448304 251605 WestchesterIndividual No 1215921606 01661494 188038 OrangeIndividual No 1215980461 00215898 116563 WestchesterIndividual No 1043231921 01620020 199483 WestchesterIndividual Yes 1245337062 01946785 199289 WestchesterIndividual No 1164434114 02372163 221338 WestchesterIndividual No 1184698813 01544178 164011 WestchesterIndividual Yes 1396890299 02222246 152392 WestchesterIndividual No 1194836890 03143148 144687 WestchesterIndividual No 1801989025 01839312 163602 WestchesterIndividual Yes 1376628149 00942250 120830 OrangeIndividual Yes 1942382114 01071118 162733 WestchesterIndividual No 1306824339 00919815 164409 WestchesterIndividual No 1801860259 01480799 179127 WestchesterIndividual Yes 1770661571 03229072 257034 WestchesterIndividual No 1023014370 00143164 090482 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1992784698 00116569 081056 WestchesterIndividual Yes 1841459385 03355800 243598 WestchesterIndividual No 1215986773 00810797 156424 WestchesterIndividual Yes 1093917924 01883467 211885 WestchesterIndividual No 1003887258 02208400 223139 WestchesterIndividual No 1740292051 02845976 239956 WestchesterIndividual No 1275509507 02311140 242275 WestchesterIndividual No 1841593985 03656448 261637 WestchesterIndividual No 1245238278 01827527 199665 WestchesterIndividual No 1740372457 00398816 124508 WestchesterIndividual No 1356426480 02427347 247184 WestchesterIndividual No 1104828862 02108134 213619 WestchesterIndividual Yes 1932282779 01026897 170489 WestchesterIndividual No 1043260987 01499678 189231 WestchesterIndividual No 1184683641 02474188 222327 WestchesterIndividual No 1215132147 03384416 251330 WestchesterIndividual Yes 1861576662 01888077 178922 WestchesterIndividual No 1750360517 01365397 129451 WestchesterIndividual No 1235165200 01683283 201860 WestchesterIndividual No 1609061043 03104230 252650 WestchesterIndividual No 1265468136 00600380 136178 WestchesterIndividual No 1780637421 01408548 187927 WestchesterIndividual No 1710070990 01198452 168759 WestchesterIndividual No 1801808878 01888242 187766 WestchesterIndividual No 1972639375 01043787 160923 WestchesterIndividual No 1427019520 02150503 237703 WestchesterIndividual No 1437197837 01944352 213695 WestchesterIndividual No 1881604601 02050526 216275 WestchesterIndividual Yes 1346334653 01550792 189845 WestchesterIndividual No 1336132000 01954723 208605 WestchesterIndividual No 1861577249 01831956 185926 WestchesterIndividual No 1588678593 01112578 155372 WestchesterIndividual No 1588601371 02510763 241678 WestchesterIndividual No 1174749733 02903166 230557 WestchesterIndividual Yes 1306926860 02760658 238918 WestchesterIndividual Yes 1942314836 01912298 255858 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1992916241 02902358 244312 WestchesterIndividual No 1912173501 03025069 246969 WestchesterIndividual No 1750333274 00963662 151313 WestchesterIndividual Yes 1588749808 00978785 151141 WestchesterIndividual No 1184624157 01420759 192273 WestchesterIndividual No 1740578509 03484544 263620 WestchesterIndividual No 1356320410 02611310 230232 WestchesterIndividual No 1972547750 03374009 223418 WestchesterIndividual Yes 1124108683 00864737 147817 WestchesterIndividual No 1225005952 00612079 120997 WestchesterIndividual No 1508862863 03293872 255442 WestchesterIndividual No 1306828744 02256866 223707 WestchesterIndividual No 1578669503 01184385 171579 WestchesterIndividual No 1083661250 00166087 097983 WestchesterIndividual No 1720148869 00498788 116119 WestchesterIndividual No 1437242641 01399664 177286 WestchesterIndividual No 1154411999 02614235 234214 WestchesterIndividual No 1790793560 01849389 183152 WestchesterIndividual No 1689622755 03623530 248164 WestchesterIndividual Yes 1891899217 02316470 205065 WestchesterIndividual No 1326135468 03082799 243841 WestchesterIndividual Yes 1497835961 02368023 224162 WestchesterIndividual No 1336114750 02232575 214914 DutchessIndividual No 1194743591 01545440 195354 WestchesterIndividual No 1518086065 03026648 237839 WestchesterIndividual No 1649372822 01005729 111316 WestchesterIndividual No 1689962458 03365771 262090 WestchesterIndividual Yes 1912034257 02858368 241628 WestchesterIndividual No 1073688263 01846886 171692 WestchesterIndividual No 1558337675 01399453 165906 WestchesterIndividual No 1568541100 01267894 186398 WestchesterIndividual No 1336232511 01500729 153983 WestchesterIndividual No 1609066380 03122176 253951 WestchesterIndividual No 1124068465 01468015 185325 WestchesterIndividual No 1790853778 01838417 109045 WestchesterIndividual No 1104919349 01246042 165814 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1538335104 03688819 271585 WestchesterIndividual No 1154414308 02574505 232487 WestchesterIndividual Yes 1346469251 03232377 236678 WestchesterIndividual No 1598861510 02377273 220503 WestchesterIndividual Yes 1790726982 02729091 250182 WestchesterIndividual No 1669587879 01475350 171207 WestchesterIndividual Yes 1447411814 02989453 249066 WestchesterIndividual Yes 1942380415 01365282 177734 WestchesterIndividual Yes 1922197235 02905333 242053 WestchesterIndividual No 1750341715 01152776 170296 WestchesterIndividual No 1043318207 01821796 207930 WestchesterIndividual No 1356352397 01363299 189003 WestchesterIndividual Yes 1174566111 01088797 148921 WestchesterIndividual No 1558358200 00211743 115176 WestchesterIndividual No 1366558991 00169920 099449 WestchesterIndividual Yes 1326277799 03121226 003400 WestchesterIndividual No 1699717850 02600773 239639 WestchesterIndividual Yes 1598765356 00736012 123328 WestchesterIndividual Yes 1942381371 01106647 137412 WestchesterIndividual No 1730347014 03266451 259780 WestchesterIndividual No 1689765596 00911413 139988 WestchesterIndividual Yes 1306918263 03128136 252589 WestchesterIndividual No 1801936539 01390867 174209 WestchesterIndividual Yes 1750478830 01677274 120363 WestchesterIndividual No 1104925858 00904421 148617 WestchesterIndividual No 1184607814 00881883 150267 WestchesterIndividual No 1437150513 01725240 170711 WestchesterIndividual No 1801989033 02333815 226499 WestchesterIndividual No 1235167594 03099676 240050 WestchesterIndividual No 1487614814 02920294 247274 WestchesterIndividual No 1750595682 03153739 245354 WestchesterIndividual Yes 1124108774 01399504 134727 WestchesterIndividual No 1295759496 03099612 251606 WestchesterIndividual No 1265598015 02222420 191220 WestchesterIndividual No 1699786632 01163946 147709 WestchesterIndividual Yes 1235394255 03131495 239314 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1104913284 03087074 117254 WestchesterIndividual Yes 1093891947 02780821 228911 WestchesterIndividual No 1548356546 02478408 227573 WestchesterIndividual No 1376985887 03652706 270517 WestchesterIndividual No 1922195007 01152652 172893 WestchesterIndividual Yes 1871521112 01839165 159766 WestchesterIndividual No 1659572220 00793453 150848 WestchesterIndividual Yes 1093895427 02770230 235134 WestchesterIndividual Yes 1700961000 02684375 232632 WestchesterIndividual No 1811955032 01655045 186900 WestchesterIndividual No 1386822922 03050479 247314 WestchesterIndividual Yes 1942257282 01643232 183253 WestchesterIndividual Yes 1194805663 01076911 149751 WestchesterIndividual No 1477634806 02466342 223965 WestchesterIndividual No 1609934264 00945840 150966 WestchesterIndividual No 1518980960 00579891 123891 WestchesterIndividual No 1134255052 02937406 245878 WestchesterIndividual No 1447331608 02211892 206268 WestchesterIndividual Yes 1194884361 00837256 143747 WestchesterIndividual No 1912931825 01074744 161283 WestchesterIndividual Yes 1649350117 01639409 184331 WestchesterIndividual Yes 1366754822 03260400 257197 WestchesterIndividual No 1457444622 00148605 092278 WestchesterIndividual No 1164515300 01872866 210012 WestchesterIndividual No 1013000256 01260439 165430 WestchesterIndividual No 1396719027 01265558 185987 WestchesterIndividual No 1386844108 03717508 272155 WestchesterIndividual Yes 1376776138 03255314 254653 WestchesterIndividual No 1861496481 01010535 151151 WestchesterIndividual No 1184721078 00632137 132595 WestchesterIndividual No 1093880718 00718323 135411 WestchesterIndividual No 1407831324 01249114 161204 WestchesterIndividual No 1063526630 03083965 152049 WestchesterIndividual No 1073773032 03472240 253918 WestchesterIndividual Yes 1932169711 02716627 259497 WestchesterIndividual No 1790883544 01840064 186780 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual Yes 1093895567 01753231 178905 WestchesterIndividual No 1447523022 03473847 246084 WestchesterIndividual No 1326083593 01723582 143495 WestchesterIndividual No 1720171119 00869847 141200 WestchesterIndividual Yes 1194960351 03323755 258878 WestchesterIndividual No 1851377576 03484755 266041 WestchesterIndividual No 1558406967 01274579 183891 WestchesterIndividual No 1457444697 01443681 173213 WestchesterIndividual No 1942324132 02550076 230274 WestchesterIndividual No 1871500777 01971806 209339 WestchesterIndividual No 1346321593 00373859 114860 WestchesterIndividual No 1518975291 00962065 155862 WestchesterIndividual No 1174556013 00193311 109097 WestchesterIndividual Yes 1275613747 00992049 147928 WestchesterIndividual No 1730117144 00486131 127676 WestchesterIndividual No 1720086051 01989582 149715 WestchesterIndividual No 1265638738 00962074 144990 WestchesterIndividual No 1437463171 03347468 256973 WestchesterIndividual Yes 1700980125 01043892 146541 WestchesterIndividual No 1700884749 02619267 231585 WestchesterIndividual No 1356647192 03363499 260469 WestchesterIndividual No 1790894723 01185868 164930 RocklandIndividual No 1982742565 01600302 199443 WestchesterIndividual No 1518926617 01337613 180427 WestchesterIndividual No 1215105960 03717411 265073 WestchesterIndividual No 1588866271 02439843 229053 WestchesterIndividual No 1083050173 03624297 268713 WestchesterIndividual Yes 1306045802 03536147 268042 WestchesterIndividual No 1346360260 03232648 234777 WestchesterIndividual No 1528151784 00198045 110703 WestchesterIndividual No 1679556088 00877963 109477 WestchesterIndividual No 1326056995 02343039 162767 WestchesterIndividual No 1942289541 01732205 190144 WestchesterIndividual No 1447548060 03624417 268430 WestchesterIndividual No 1639193071 00186663 106391 WestchesterIndividual No 1124160312 01614084 183915 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1629064217 02075276 213667 WestchesterIndividual Yes 1891875365 01725222 189321 WestchesterIndividual No 1215903091 01114929 147402 WestchesterIndividual No 1073606216 01198461 167995 WestchesterIndividual No 1366488538 01443732 169258 WestchesterIndividual Yes 1437239902 01770387 182459 WestchesterIndividual Yes 1457506107 03301902 249666 WestchesterIndividual No 1063472231 01605449 181526 WestchesterIndividual No 1548348931 00208306 113936 WestchesterIndividual No 1356582365 03126354 252232 WestchesterIndividual No 1073693545 00906827 153143 WestchesterIndividual No 1164478947 00589675 131126 WestchesterIndividual Yes 1578660304 02758450 223759 WestchesterIndividual No 1184784191 00942287 133924 WestchesterIndividual Yes 1164585329 03076491 188072 WestchesterIndividual Yes 1275613739 01837907 189318 WestchesterIndividual No 1134402043 03625069 268674 WestchesterIndividual No 1922011618 02051081 200410 WestchesterIndividual No 1043230600 00791924 149084 WestchesterIndividual No 1366535502 01825194 186546 WestchesterIndividual No 1902906142 00711239 137170 WestchesterIndividual Yes 1043488265 03244795 257323 WestchesterIndividual Yes 1134205073 02572530 232539 WestchesterIndividual No 1194933911 03374150 260805 WestchesterIndividual No 1043292469 01989624 160084 WestchesterIndividual No 1386809556 03015092 246221 WestchesterIndividual No 1760640999 03652499 249384 WestchesterIndividual No 1750678280 03624848 269583 WestchesterIndividual Yes 1134189194 01643567 196257 WestchesterIndividual Yes 1275595787 02118647 193055 WestchesterIndividual Yes 1902806888 01973808 211420 WestchesterIndividual No 1386670768 00775168 122939 WestchesterIndividual No 1194912477 03016406 243847 WestchesterIndividual Yes 1174604508 01918845 199355 WestchesterIndividual No 1811986904 01214837 168873 WestchesterIndividual No 1184651598 01438875 174400 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1710171715 03625110 254232 WestchesterIndividual No 1851327654 01474262 178980 RocklandIndividual No 1558359935 01897070 190317 WestchesterIndividual No 1407862998 01990436 206325 WestchesterIndividual No 1578570834 03386707 262505 WestchesterIndividual Yes 1750471587 01710205 205317 WestchesterIndividual No 1356413785 02321497 220661 WestchesterIndividual No 1861463564 01042373 161321 WestchesterIndividual No 1962663047 03106567 247364 WestchesterIndividual No 1528025129 02799948 223862 WestchesterIndividual No 1407954134 03401916 265547 WestchesterIndividual No 1609991843 00143393 090550 WestchesterIndividual No 1942393186 01872357 206973 WestchesterIndividual Yes 1982672382 00687325 115541 WestchesterIndividual No 1164482329 01783004 206871 WestchesterIndividual No 1063410041 01271030 180271 WestchesterIndividual No 1619027364 02194838 221502 WestchesterIndividual No 1649244815 01721604 101929 WestchesterIndividual No 1326076639 01840404 198609 WestchesterIndividual No 1982767067 00770549 135068 WestchesterIndividual No 1982681813 01581057 187520 WestchesterIndividual No 1033215777 00218617 117673 WestchesterIndividual No 1851484091 02794301 238421 WestchesterIndividual Yes 1558513853 03116754 245931 WestchesterIndividual No 1295738136 00712083 127584 WestchesterIndividual Yes 1942277330 02415378 227724 WestchesterIndividual No 1578548533 02530385 231950 WestchesterIndividual No 1639245244 02270928 216946 WestchesterIndividual No 1245585744 01582223 185983 WestchesterIndividual No 1467567305 02595077 233993 WestchesterIndividual No 1710061973 00863727 143497 WestchesterIndividual Yes 1508864364 00169791 099393 WestchesterIndividual Yes 1083653786 00234304 125182 WestchesterIndividual No 1043230568 01244724 185123 WestchesterIndividual No 1528134137 01025314 164440 WestchesterIndividual No 1548330970 03019945 229985 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1861445090 03782336 272688 WestchesterIndividual No 1194059899 03155108 254982 WestchesterIndividual No 1407015480 03623989 262150 WestchesterIndividual Yes 1174613079 01026315 152562 OrangeIndividual No 1023198678 00232128 123405 WestchesterIndividual No 1528070505 00937100 146456 WestchesterIndividual No 1053336818 01849545 188050 WestchesterIndividual No 1497719025 01344738 174793 WestchesterIndividual No 1114997483 00495652 121653 WestchesterIndividual No 1164732038 03392330 263281 WestchesterIndividual Yes 1861573297 02020813 205994 WestchesterIndividual No 1740218882 02149604 216502 WestchesterIndividual No 1629237144 03422382 259827 WestchesterIndividual Yes 1841370491 01181671 151958 WestchesterIndividual Yes 1790785509 02586189 228693 WestchesterIndividual No 1114962024 00572014 127335 WestchesterIndividual No 1891942926 03230673 249133 WestchesterIndividual Yes 1366636623 02977457 243480 WestchesterIndividual No 1275576696 00958934 155156 WestchesterIndividual No 1083627723 01475685 186305 WestchesterIndividual No 1760592885 01737700 159691 WestchesterIndividual No 1033180013 00712092 122563 WestchesterIndividual No 1982797122 02695536 231315 WestchesterIndividual Yes 1265726962 03365359 257132 WestchesterIndividual No 1225132541 00187820 106897 WestchesterIndividual No 1376559542 01063905 154820 WestchesterIndividual No 1811977283 01142290 179417 WestchesterIndividual No 1356425128 01026195 170624 WestchesterIndividual No 1881752442 01839174 160355 WestchesterIndividual Yes 1154556736 03241729 250911 WestchesterIndividual No 1013980903 00788096 136251 WestchesterIndividual No 1912295759 03439434 264409 WestchesterIndividual No 1396849717 02196418 209210 WestchesterIndividual No 1891830253 02877741 227680 WestchesterIndividual No 1720070220 02844282 239191 WestchesterIndividual Yes 1760467344 03166103 190436 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1053382283 01547566 189202 WestchesterIndividual No 1881624633 00584625 132363 WestchesterIndividual No 1386799500 00991548 140058 WestchesterIndividual No 1275579443 01220213 167485 WestchesterIndividual No 1730272907 01825236 194452 WestchesterIndividual No 1215901350 01902107 158743 WestchesterIndividual No 1346219615 02419107 228971 WestchesterIndividual No 1528151925 01493594 165651 WestchesterIndividual No 1912956442 02521222 230728 WestchesterIndividual No 1194790865 01838866 148909 WestchesterIndividual No 1245299577 00761422 115289 WestchesterIndividual No 1710079702 01106665 174770 WestchesterIndividual No 1730131145 02919840 223067 WestchesterIndividual Yes 1336233691 02362036 226044 WestchesterIndividual Yes 1255402020 01588178 196407 PutnamIndividual No 1982748307 00364829 129892 WestchesterIndividual No 1104027366 03521217 266716 WestchesterIndividual No 1396840039 01513928 189858 WestchesterIndividual Yes 1043390511 02356985 224715 WestchesterIndividual Yes 1477555902 01783453 201362 WestchesterIndividual No 1386628550 00911046 163147 WestchesterIndividual No 1851477798 02758758 228899 WestchesterIndividual No 1588868160 03040475 248562 WestchesterIndividual Yes 1831199553 01099201 160114 WestchesterIndividual Yes 1619131430 03135926 230012 WestchesterIndividual No 1780766956 01417716 174097 WestchesterIndividual No 1003808908 02083003 215486 WestchesterIndividual No 1609907120 01413152 167719 WestchesterIndividual No 1356510747 03017392 235153 WestchesterIndividual No 1902881238 02648337 234642 WestchesterIndividual No 1699734921 01008873 145021 WestchesterIndividual No 1649243585 01627325 200931 WestchesterIndividual Yes 1952431249 03022319 236295 WestchesterIndividual No 1114934585 00548852 124336 WestchesterIndividual No 1568459501 00659545 131982 WestchesterIndividual No 1790742104 03029949 233917 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1962578443 01631061 196925 WestchesterIndividual No 1588825012 03441843 243453 WestchesterIndividual Yes 1538103825 02093103 215438 RocklandIndividual No 1184890022 03103211 230343 WestchesterIndividual No 1225113814 01491161 193038 WestchesterIndividual No 1346499431 03505222 266788 WestchesterIndividual No 1154397503 00890735 150482 WestchesterIndividual No 1427246628 02471992 221994 WestchesterIndividual No 1760406557 01497305 171174 WestchesterIndividual No 1447290119 01203896 176762 WestchesterIndividual No 1164623500 02990545 221382 WestchesterIndividual No 1316945371 01971791 183428 WestchesterIndividual No 1881669992 03309033 172542 WestchesterIndividual No 1053376418 03293818 253767 WestchesterIndividual No 1922139377 00969255 162489 WestchesterIndividual No 1043276447 00842457 143296 WestchesterIndividual No 1194847525 02915988 230816 WestchesterIndividual No 1073544748 02202413 222063 WestchesterIndividual Yes 1265607279 03019216 248119 WestchesterIndividual Yes 1679659510 02667292 230154 WestchesterIndividual No 1467463851 01765475 197978 WestchesterIndividual No 1518016807 03127644 236894 WestchesterIndividual No 1801873229 01852991 182281 WestchesterIndividual No 1184848822 00715513 140078 WestchesterIndividual Yes 1205094737 03259423 255100 WestchesterIndividual No 1386615250 02368665 234741 OrangeIndividual No 1992748826 00952323 140803 WestchesterIndividual Yes 1851471338 02427585 223020 WestchesterIndividual No 1598962169 03711222 270165 WestchesterIndividual No 1063621357 03777575 248144 WestchesterIndividual Yes 1730363623 03236922 267661 WestchesterIndividual No 1114951522 00841103 157978 WestchesterIndividual No 1437124807 01249976 175332 WestchesterIndividual No 1699732925 03266566 241769 WestchesterIndividual No 1336428184 03485756 251982 WestchesterIndividual Yes 1588744064 01128330 161954 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1346537669 03793982 268345 WestchesterIndividual Yes 1366414039 01798003 190719 OrangeIndividual No 1639153752 00595946 146194 WestchesterIndividual No 1902804768 01766632 202857 WestchesterIndividual No 1366739120 03473796 264803 WestchesterIndividual No 1376776054 03482235 265451 WestchesterIndividual No 1497856454 01577802 183171 WestchesterIndividual No 1750375390 02845912 234393 WestchesterIndividual Yes 1487734968 01848700 157697 WestchesterIndividual No 1376583740 02103437 205843 WestchesterIndividual No 1053491829 02131831 163812 WestchesterIndividual No 1205940210 01064020 162803 WestchesterIndividual No 1568448314 01741120 206637 WestchesterIndividual No 1386749927 00516312 085506 WestchesterIndividual No 1952482119 00268415 108551 WestchesterIndividual No 1578544995 02419845 228223 WestchesterIndividual No 1952442758 02415438 226666 WestchesterIndividual No 1922008762 00856708 148088 WestchesterIndividual No 1740456912 03216864 256437 WestchesterIndividual No 1043469992 03354083 251855 WestchesterIndividual No 1194792887 02473687 230158 WestchesterIndividual No 1720040868 00625329 133388 WestchesterIndividual No 1609020981 03158138 246066 WestchesterIndividual No 1184786519 03717291 267975 WestchesterIndividual No 1679626071 01146381 178338 WestchesterIndividual Yes 1417162868 03202682 238652 OrangeIndividual Yes 1255411815 01895876 210835 WestchesterIndividual No 1023077120 01845743 188151 WestchesterIndividual No 1871751479 03651181 251279 WestchesterIndividual Yes 1427138080 01598365 178776 WestchesterIndividual No 1053334771 00228666 121735 WestchesterIndividual No 1669430666 02785275 226151 WestchesterIndividual No 1104891407 02554570 224213 WestchesterIndividual No 1568525160 00811885 133980 WestchesterIndividual No 1831215326 00866904 090272 WestchesterIndividual No 1205995776 00704105 131172 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1629091848 02180225 222202 WestchesterIndividual No 1154416071 02108749 204342 WestchesterIndividual No 1326078346 01026402 169367 WestchesterIndividual No 1235174194 01789757 206163 WestchesterIndividual Yes 1750466108 01062353 166683 WestchesterIndividual No 1962427294 00715568 128034 RocklandIndividual No 1184606139 02529546 230777 WestchesterIndividual No 1922068071 00762107 145111 WestchesterIndividual No 1689672362 03147091 213315 WestchesterIndividual No 1770674293 00230319 122456 WestchesterIndividual No 1275626418 00112730 079779 WestchesterIndividual No 1639479736 03817205 273534 WestchesterIndividual No 1467494336 01067234 160970 WestchesterIndividual No 1104815299 00531131 130100 WestchesterIndividual No 1376647511 00764383 129784 WestchesterIndividual Yes 1376741454 03501071 266771 WestchesterIndividual Yes 1235219890 01531740 194313 WestchesterIndividual No 1528077732 01577820 205041 WestchesterIndividual No 1750441069 00836291 151069 WestchesterIndividual No 1376602797 00970356 148011 WestchesterIndividual No 1831125913 02149553 210253 WestchesterIndividual No 1205911591 02585257 232066 WestchesterIndividual Yes 1760652556 02956554 233944 SullivanIndividual No 1114048055 03157706 238055 WestchesterIndividual No 1316029671 01848306 117223 WestchesterIndividual No 1649355686 00894284 149690 RocklandIndividual No 1538240783 00431489 118316 WestchesterIndividual No 1063505212 01928243 201868 WestchesterIndividual No 1134195548 03516516 219113 WestchesterIndividual No 1831271097 00148912 092384 WestchesterIndividual Yes 1760568612 01900123 198374 WestchesterIndividual No 1760575906 01429414 167975 WestchesterIndividual No 1134182876 00392214 125886 WestchesterIndividual No 1588820435 03161039 266870 WestchesterIndividual No 1588680185 01544132 192253 WestchesterIndividual No 1215965934 01386305 160366 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1326137845 01157368 159701 WestchesterIndividual No 1881654143 01504627 196990 WestchesterIndividual No 1679666812 01550132 179534 WestchesterIndividual No 1174691117 01030717 158685 WestchesterIndividual No 1053492215 00248893 117196 WestchesterIndividual No 1205912151 01600682 198110 WestchesterIndividual Yes 1649355777 01733646 176411 WestchesterIndividual No 1467485268 02209841 221883 WestchesterIndividual Yes 1568696714 03244259 256169 WestchesterIndividual No 1467535120 01389028 143751 WestchesterIndividual Yes 1962587725 00644064 140453 WestchesterIndividual No 1386694198 01809750 191345 WestchesterIndividual Yes 1831392992 02904401 240424 WestchesterIndividual Yes 1407936065 02251430 214038 WestchesterIndividual No 1174805725 03505319 265225 WestchesterIndividual No 1467545699 01195702 160436 WestchesterIndividual Yes 1962460931 03405878 261272 WestchesterIndividual No 1770572232 00836195 143355 WestchesterIndividual No 1891777694 00777317 135924 WestchesterIndividual No 1053307942 01883903 200554 WestchesterIndividual No 1265420426 01726576 163614 WestchesterIndividual No 1619172400 03326267 223613 WestchesterIndividual No 1295706497 00759655 138713 WestchesterIndividual No 1841262177 02023889 205893 WestchesterIndividual No 1386864486 02387979 218821 RocklandIndividual Yes 1154415412 02646124 234671 WestchesterIndividual No 1831155043 02155397 219726 WestchesterIndividual Yes 1275695298 00822019 122223 WestchesterIndividual No 1831115971 00687361 115384 WestchesterIndividual No 1194731331 01748163 202285 WestchesterIndividual No 1366504284 01761577 189289 WestchesterIndividual No 1134212368 01878160 206697 WestchesterIndividual No 1255429767 01728541 193278 WestchesterIndividual No 1629134416 00168772 098936 WestchesterIndividual No 1841383064 01786621 206914 WestchesterIndividual No 1235224858 01902721 203483 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1619972494 02762852 226822 OrangeIndividual No 1437314176 03487785 264583 WestchesterIndividual No 1811079197 01919511 194838 WestchesterIndividual No 1427060169 01559291 186004 WestchesterIndividual No 1053644294 03363339 242024 WestchesterIndividual No 1639144942 01421223 164830 WestchesterIndividual No 1609834829 00141199 089801 WestchesterIndividual No 1689663262 02020955 204471 WestchesterIndividual No 1720013139 01162963 166893 WestchesterIndividual Yes 1417038845 01052395 167222 WestchesterIndividual No 1649260746 02978256 222595 WestchesterIndividual No 1811970627 00422317 116358 WestchesterIndividual No 1164514428 00566427 099265 WestchesterIndividual No 1437243797 01467174 161668 WestchesterIndividual No 1750323671 01851041 171255 WestchesterIndividual Yes 1811072119 00342383 093339 WestchesterIndividual No 1629245055 03503073 251654 WestchesterIndividual No 1093046229 03431321 269445 WestchesterIndividual Yes 1558407247 02958538 237989 WestchesterIndividual No 1184811580 03262695 256700 WestchesterIndividual No 1346334604 02439494 224276 WestchesterIndividual Yes 1013144633 03120725 252433 WestchesterIndividual No 1184855066 03336665 259596 WestchesterIndividual Yes 1831183656 01620002 182562 WestchesterIndividual No 1225120744 01620442 205316 WestchesterIndividual No 1902872211 02558661 229703 RocklandIndividual No 1932202074 00766674 150857 WestchesterIndividual No 1316912041 01197653 178907 WestchesterIndividual No 1811922453 01262239 143091 WestchesterIndividual No 1053316836 01472086 195110 WestchesterIndividual No 1164439022 00351771 135557 WestchesterIndividual No 1912088188 02605181 234211 WestchesterIndividual No 1497867287 02245738 205877 WestchesterIndividual No 1710023049 02906247 228104 WestchesterIndividual No 1811971807 02415534 263255 WestchesterIndividual No 1326289679 03291834 251802 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1033222468 01851505 196192 WestchesterIndividual No 1285842096 03113600 253589 WestchesterIndividual Yes 1760518823 03019803 249681 WestchesterIndividual No 1710138433 03125959 250612 WestchesterIndividual Yes 1619125218 01724309 173647 WestchesterIndividual No 1316958945 01683590 175407 WestchesterIndividual No 1275527632 01679556 183062 WestchesterIndividual No 1942459060 03238777 246024 WestchesterIndividual No 1871556274 01025396 161959 WestchesterIndividual No 1790767762 01476035 172939 WestchesterIndividual No 1316949134 01031832 154654 WestchesterIndividual No 1457398802 02529064 228526 WestchesterIndividual No 1346285145 01824482 182938 WestchesterIndividual No 1538258488 01384812 190315 WestchesterIndividual Yes 1326073552 02632566 233145 WestchesterIndividual No 1659530921 03119573 248530 WestchesterIndividual Yes 1629094701 03243441 243948 WestchesterIndividual No 1902974504 01405545 173267 WestchesterIndividual No 1508812405 01690826 202742 WestchesterIndividual Yes 1437166485 02944190 186968 WestchesterIndividual No 1780750398 02862233 233451 WestchesterIndividual No 1891888046 00138743 088004 WestchesterIndividual No 1962449611 01990096 198030 WestchesterIndividual Yes 1558494450 01854439 196935 WestchesterIndividual No 1790757151 00981879 157901 WestchesterIndividual No 1275626400 02194970 206393 WestchesterIndividual No 1275504722 01250480 171714 WestchesterIndividual No 1588738868 01649325 186579 WestchesterIndividual No 1851573901 00396194 124255 WestchesterIndividual No 1245219856 02642717 214894 WestchesterIndividual No 1205929445 01958492 210478 WestchesterIndividual No 1770691040 01344554 146496 WestchesterIndividual No 1114010352 00258104 115450 WestchesterIndividual No 1184717324 00136452 087193 WestchesterIndividual Yes 1821325150 03166709 267302 WestchesterIndividual No 1174599682 03420899 257178 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual Yes 1316185705 03358367 233783 WestchesterIndividual No 1982963021 03612897 269403 WestchesterIndividual No 1578586533 02810382 246636 WestchesterIndividual No 1952466799 03322736 260567 WestchesterIndividual No 1992816417 01481098 182084 WestchesterIndividual No 1922191162 01260113 167531 WestchesterIndividual No 1669565883 00368070 131734 WestchesterIndividual No 1023285368 03638204 270408 WestchesterIndividual No 1134190838 01956156 214669 WestchesterIndividual No 1205811569 02902110 236019 WestchesterIndividual No 1972530491 01849187 178455 WestchesterIndividual No 1154385524 02665570 219655 WestchesterIndividual No 1922180199 01272279 186371 WestchesterIndividual No 1720376494 03483814 264728 WestchesterIndividual No 1417928060 01663010 186022 WestchesterIndividual No 1720193691 01853387 154341 WestchesterIndividual No 1881784809 02584090 231506 WestchesterIndividual No 1942216510 00215729 116495 WestchesterIndividual No 1215002035 00718401 132612 WestchesterIndividual No 1558561704 02926658 245264 WestchesterIndividual No 1083674840 01480657 160190 WestchesterIndividual No 1326005554 02637727 217794 WestchesterIndividual No 1649359381 01175199 173101 WestchesterIndividual No 1376826818 03503968 266045 WestchesterIndividual Yes 1215009428 01897209 211281 WestchesterIndividual No 1174683742 01850751 156412 WestchesterIndividual Yes 1972707636 03356407 240229 WestchesterIndividual No 1245349752 00765628 126829 WestchesterIndividual No 1689711681 01316132 176335 WestchesterIndividual Yes 1104845023 03140567 149916 WestchesterIndividual No 1992930796 03244713 257846 WestchesterIndividual No 1366535593 00774745 144628 WestchesterIndividual No 1134204456 00785382 141820 WestchesterIndividual No 1215901343 02166530 198868 WestchesterIndividual No 1760470173 01748181 206193 WestchesterIndividual Yes 1457589863 03117342 253521 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1316922057 02686964 236193 WestchesterIndividual No 1013206085 03363480 260459 WestchesterIndividual No 1770522807 01464671 193746 WestchesterIndividual Yes 1295765618 02173119 210724 WestchesterIndividual No 1023101268 00895941 134976 WestchesterIndividual No 1699711663 01550994 182589 WestchesterIndividual No 1275637597 01785946 161325 WestchesterIndividual No 1841435468 03104592 238392 WestchesterIndividual No 1164515383 01584409 193087 WestchesterIndividual Yes 1912085036 01425781 192511 WestchesterIndividual No 1790760064 03293592 241766 WestchesterIndividual No 1730145194 01256220 173320 WestchesterIndividual No 1447332721 02336794 092501 WestchesterIndividual No 1124128020 00220737 118296 WestchesterIndividual No 1184728404 02061190 210271 WestchesterIndividual No 1275623555 00991240 165666 WestchesterIndividual No 1609958875 02574096 228867 WestchesterIndividual Yes 1235214545 02397455 232009 WestchesterIndividual No 1578658886 00926783 163990 WestchesterIndividual No 1215176540 03481876 258537 WestchesterIndividual No 1487899027 03121253 250531 WestchesterIndividual No 1982818373 03293565 238696 WestchesterIndividual No 1396725578 03733988 221463 WestchesterIndividual Yes 1699857854 01733742 189192 WestchesterIndividual No 1982676417 02656173 235682 WestchesterIndividual No 1780676056 02132025 226092 SullivanIndividual No 1659465664 01179446 169027 WestchesterIndividual No 1760519888 01888013 173452 WestchesterIndividual No 1316065493 03019849 249294 WestchesterIndividual No 1053573576 03473801 264794 WestchesterIndividual No 1083689392 01443498 156990 WestchesterIndividual No 1437239761 00489978 118515 WestchesterIndividual No 1487784138 03136207 239857 WestchesterIndividual No 1255345625 00579882 128921 WestchesterIndividual No 1831193457 00440368 132616 WestchesterIndividual No 1700896487 02068720 211099 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual Yes 1700968963 00728372 120819 WestchesterIndividual No 1083661904 00966472 150351 WestchesterIndividual No 1497984280 03309244 251914 RocklandIndividual No 1316027030 01808584 164817 WestchesterIndividual No 1992788459 02489027 224598 WestchesterIndividual Yes 1477633022 02655058 191052 OrangeIndividual No 1790878924 02151522 218074 WestchesterIndividual No 1619052131 00718694 129802 WestchesterIndividual Yes 1841375623 02408877 225317 WestchesterIndividual Yes 1407925274 00779800 114479 WestchesterIndividual No 1942466339 03688259 270654 WestchesterIndividual No 1326021163 01507639 170720 WestchesterIndividual No 1528179694 01516554 173066 WestchesterIndividual No 1295727808 01990481 207206 WestchesterIndividual No 1861506842 01665470 194548 WestchesterIndividual No 1821178328 01888086 179325 WestchesterIndividual Yes 1942460365 03135577 249341 WestchesterIndividual Yes 1881767457 02692840 160208 WestchesterIndividual No 1508840505 01167115 143114 WestchesterIndividual No 1376562884 02489132 182025 WestchesterIndividual Yes 1841375979 02585293 233184 WestchesterIndividual Yes 1811041288 03347151 248109 WestchesterIndividual No 1841383080 00548563 127490 WestchesterIndividual No 1487645693 01524767 183592 WestchesterIndividual No 1972755445 03526318 266443 WestchesterIndividual No 1407931868 01023463 151532 WestchesterIndividual Yes 1376679027 03120394 253289 WestchesterIndividual No 1679581086 02460777 223017 WestchesterIndividual No 1124056791 00547044 125364 WestchesterIndividual No 1174568299 02289114 224154 WestchesterIndividual No 1679736706 03168870 243097 WestchesterIndividual Yes 1083870182 03225243 256410 WestchesterIndividual Yes 1396999553 03264757 258644 WestchesterIndividual No 1073774998 03472566 264151 WestchesterIndividual No 1053383612 00491438 142239 WestchesterIndividual No 1861651143 03651232 243810 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1063590826 02904552 199083 WestchesterIndividual No 1093721581 00127495 084508 WestchesterIndividual Yes 1467478560 03094222 243857 WestchesterIndividual No 1174843213 03413870 257773 WestchesterIndividual No 1154394526 00422537 108331 WestchesterIndividual No 1043203995 00934785 127930 WestchesterIndividual No 1639193030 02667967 235658 WestchesterIndividual No 1740564350 03623594 251776 WestchesterIndividual No 1578510848 02674862 226606 WestchesterIndividual No 1780614990 01178156 165862 WestchesterIndividual Yes 1881731479 03262562 258318 WestchesterIndividual No 1699952762 02427521 211771 WestchesterIndividual Yes 1407856255 02583833 221587 WestchesterIndividual No 1043218571 00564021 118059 PutnamIndividual Yes 1053496364 02796707 230519 WestchesterIndividual Y 1841386893 152125 SullivanIndividual Y 1215920244 213405 SullivanIndividual Y 1043301815 320009 SullivanFamily Services of WestchesY 1609910207 2996927 154475 WestchesterFamily Services of WestchesY 1225125305 2996927 186244 WestchesterFamily Services of WestchesY 1013029396 2996927 182355 WestchesterFamily Services of WestchesY 1780717074 2487103 144550 WestchesterFamily Services of WestchesY 1093994378 3040466 401110 WestchesterFamily Services of WestchesY 1962743112 2996927 401581 WestchesterNot applicable Yes 1821110131 159674 WestchesterNot applicable Yes 1346483377 251481 WestchesterNot applicable Yes 1669570453 840451 WestchesterNot applicable Yes 1023192077 252346-1 WestchesterNot applicable Yes 1235281866 189852 WestchesterNot applicable Yes 1295996957 NYCNot applicable Yes 1689648545 228890 WestchesterRESOURCE MEDICAL SRVCS PYes 1205827680 03443996 117319 New YorkRESOURCE MEDICAL SRVCS PYes 1316938988 03443996 193168 New YorkRESOURCE MEDICAL SRVCS PYes 1609855725 03443996 191242 New YorkRESOURCE MEDICAL SRVCS PYes 1841290723 03443996 228483 New YorkRESOURCE MEDICAL SRVCS PYes 1073955571 03443996 338085 New York
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
RESOURCE MEDICAL SRVCS PYes 1275868994 03443996 336042 New YorkRESOURCE MEDICAL SRVCS PYes 1740517101 03443996 196708 New YorkRESOURCE MEDICAL SRVCS PYes 1679644264 03443996 158914 New YorkRESOURCE MEDICAL SRVCS PYes 1073684726 03443996 224819 New YorkRESOURCE MEDICAL SRVCS PYes 1932124831 03443996 127427 New YorkRESOURCE MEDICAL SRVCS PYes 1528132883 03443996 186286 New YorkRESOURCE MEDICAL SRVCS PYes 1104896067 03443996 136589 New YorkRESOURCE MEDICAL SRVCS PYes 1649376575 03443996 302901 New YorkRESOURCE MEDICAL SRVCS PYes 1942205091 03443996 204026 New YorkRESOURCE MEDICAL SRVCS PYes 1972675353 03443996 170990 New YorkRESOURCE MEDICAL SRVCS PYes 1851365449 03443996 163710 New YorkRESOURCE MEDICAL SRVCS PYes 1578556866 03443996 226429 New YorkRESOURCE MEDICAL SRVCS PYes 1790777894 03443996 193625 New YorkIndividual No 1659379626 01599866 207992 WestchesterIndividual No 1184622615 02856733 199787 DutchessIndividual No 1447219795 02188136 218978 WestchesterIndividual No 1114238763 03652095 264773 WestchesterIndividual No 1093778458 00787971 142238 WestchesterIndividual Yes 1497724496 02574954 219858 WestchesterIndividual No 1174766711 03652302 269876 WestchesterIndividual No 1548444508 03651714 245955 WestchesterIndividual No 1063674448 03505328 266644 WestchesterIndividual No 1568427441 01971273 202419 WestchesterIndividual No 1578504742 02782323 238451 WestchesterIndividual No 1295744902 01973775 214836 WestchesterIndividual No 1518976000 02495536 230000 WestchesterIndividual No 1518035997 01563693 194465 WestchesterIndividual No 1306807540 00944798 146594 OrangeIndividual No 1750459921 01169924 176907 WestchesterIndividual No 1104090901 03734076 268725 WestchesterIndividual No 1962559179 01502092 173525 WestchesterIndividual No 1053331397 01957560 196137 WestchesterIndividual No 1225058563 00521646 097423 WestchesterIndividual No 1083618607 01635749 191381 WestchesterIndividual No 1649254178 02162458 197579 WestchesterIndividual No 1932216512 00787242 155093 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588719892 00950472 162979 WestchesterIndividual No 1912942350 02415369 226787 WestchesterIndividual No 1720156094 01415723 182793 WestchesterIndividual No 1710122601 03504345 003406 WestchesterIndividual No 1669473708 02533508 223522 WestchesterIndividual No 1801999008 01961384 211267 WestchesterIndividual No 1447274899 01286800 043511 WestchesterIndividual No 1669498911 01666857 202537 WestchesterIndividual No 1134157316 03782107 270090 DutchessIndividual No 1538185046 02974147 247411 DutchessIndividual No 1881761245 01091143 149037 WestchesterIndividual No 1538167820 01196854 143132 WestchesterIndividual Yes 1801861257 01066137 167796 WestchesterIndividual No 1417000498 02238484 217852 WestchesterIndividual No 1457342123 00914645 142450 WestchesterIndividual No 1255312518 01788870 202436 WestchesterIndividual No 1942251095 01086020 146082 WestchesterIndividual Yes 1073683330 00678024 031496 WestchesterIndividual No 1811933088 01565535 156006 WestchesterIndividual No 1609921576 01453034 166425 WestchesterIndividual No 1275628141 00669705 086114 WestchesterIndividual Yes 1558558452 02924367 250358 WestchesterIndividual No 1124344924 03366070 247016 WestchesterIndividual No 1982604245 00824988 151113 WestchesterIndividual No 1164452009 01852419 155458 WestchesterIndividual No 1851599633 03734109 270267 WestchesterIndividual No 1154301737 01694682 204658 WestchesterIndividual No 1003885039 02168541 216279 WestchesterIndividual No 1629155742 01136350 175282 WestchesterIndividual No 1306915525 00499321 131310 WestchesterIndividual No 1477706216 03122850 242632 WestchesterIndividual No 1598799041 01532856 189238 WestchesterIndividual No 1467569053 01446208 194069 WestchesterIndividual No 1841362985 00153640 093892 WestchesterIndividual No 1720049489 02173173 203082 WestchesterIndividual No 1174545412 01621347 159654 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1578597142 01906569 196885 WestchesterIndividual No 1124253448 03165079 253458 WestchesterIndividual No 1699938142 03526170 264642 WestchesterIndividual No 1700929809 00582738 141121 WestchesterIndividual Yes 1720168206 02230440 193321 WestchesterIndividual No 1881859395 03652348 265399 WestchesterIndividual No 1023126729 01860668 193451 WestchesterIndividual No 1740568997 03434695 055607 WestchesterIndividual No 1427044312 00497118 104570 WestchesterIndividual No 1174887830 03574238 269062 WestchesterIndividual No 1538100722 01497227 181661 WestchesterIndividual No 1578678900 01411710 191384 WestchesterIndividual No 1457369753 01827554 206639 WestchesterIndividual Yes 1083776975 01582838 198573 WestchesterIndividual No 1417972928 00637090 132575 WestchesterIndividual No 1528068871 00824997 147292 WestchesterIndividual No 1518045996 01229565 172954 WestchesterIndividual No 1972596393 01975786 203644 WestchesterIndividual No 1396770699 03156461 253169 WestchesterIndividual No 1962441022 02180610 209452 WestchesterIndividual No 1861578692 01888691 201410 WestchesterIndividual No 1639124894 01849370 182009 WestchesterIndividual No 1750310249 01472426 183399 WestchesterIndividual No 1629045844 02155342 220481 WestchesterIndividual No 1508885740 01462986 140636 WestchesterIndividual No 1093842189 00437747 139897 WestchesterIndividual No 1245303692 00229612 122116 WestchesterIndividual No 1952555310 03121262 240161 WestchesterIndividual Yes 1629221346 03454166 273100 WestchesterIndividual No 1396715116 00858728 153843 WestchesterIndividual No 1396743829 01133146 173969 WestchesterIndividual No 1083610125 01066435 173247 WestchesterIndividual No 1992709455 01578972 005041 WestchesterIndividual No 1295776755 01184532 N004380 WestchesterIndividual No 1003910290 01202515 183014 WestchesterIndividual No 1871591222 00797017 144280 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1578555363 00437307 111247 WestchesterIndividual No 1447270079 02862417 239316 WestchesterIndividual No 1275534216 02555939 229024 WestchesterIndividual No 1548202484 01035056 157962 WestchesterIndividual No 1356589725 03102150 239138 WestchesterIndividual No 1366409229 03031394 229528 WestchesterIndividual No 1841432531 03171006 253838 WestchesterIndividual Yes 1093754806 03115446 235184 DutchessIndividual No 1508872649 02852344 238328 DutchessIndividual No 1194885566 00178203 102886 WestchesterIndividual No 1861567174 02516810 224017 WestchesterIndividual No 1992994487 03461658 264006 DutchessIndividual No 1710207907 03752545 266541 WestchesterIndividual No 1659394013 02852775 224954 DutchessIndividual No 1093790479 01585006 188243 WestchesterIndividual Yes 1023018926 02553693 231044 WestchesterIndividual No 1336350131 02879041 243536 WestchesterIndividual No 1578542296 00279676 121222 WestchesterIndividual No 1447250683 01048833 162413 WestchesterIndividual No 1588611685 01689014 202685 WestchesterIndividual No 1952307621 00799528 148820 WestchesterIndividual No 1609847060 02856568 235506 DutchessIndividual No 1356349641 01365508 155311 WestchesterIndividual No 1598765646 01420424 176523 WestchesterIndividual No 1225022114 01868377 206567 WestchesterIndividual No 1689747248 02473027 157516 WestchesterIndividual No 1679572895 00699743 138951 WestchesterIndividual Yes 1053358689 01744238 180848 WestchesterIndividual No 1922075530 03589677 268258 DutchessIndividual Yes 1922077510 00781957 135604 WestchesterIndividual Yes 1992741151 01337911 148174 WestchesterIndividual No 1689658643 00952832 151740 WestchesterIndividual No 1053336263 02097712 202082 WestchesterIndividual No 1245265669 00522683 118631 WestchesterIndividual No 1114927274 00272835 107496 WestchesterIndividual No 1114943461 02840586 225477 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1720063159 00609898 138247 WestchesterIndividual No 1861671653 00727940 137530 WestchesterIndividual No 1932295052 00539193 134449 WestchesterIndividual No 1831139237 00490331 120829 WestchesterIndividual No 1669642252 02969166 230418 WestchesterIndividual No 1689837478 03505951 256547 WestchesterIndividual No 1508975640 01398310 190461 WestchesterIndividual No 1548414725 03516736 2487879 RocklandIndividual No 1790860492 00812822 151131 WestchesterIndividual No 1568436319 02039265 183056 WestchesterIndividual No 1720248438 03146994 006286 RocklandIndividual No 1386812188 03615809 259528 WestchesterIndividual No 1013158880 03207903 260144 WestchesterIndividual No 1841291101 00899481 161301 WestchesterIndividual No 1518995661 00957502 159163 WestchesterIndividual No 1730104936 01733348 198500 WestchesterIndividual No 1609916105 02301155 219853 WestchesterIndividual No 1053311266 01504778 192582 WestchesterIndividual No 1750693842 03624233 269996 WestchesterIndividual No 1790904548 02926910 227506 WestchesterIndividual No 1083745947 02899241 225249 WestchesterIndividual No 1336129915 03717071 267756 DutchessIndividual No 1023109394 02219950 244988 WestchesterIndividual No 1740277144 02836877 224305 WestchesterIndividual No 1417020967 02821694 241402 DutchessIndividual No 1396849733 00138885 088055 WestchesterIndividual No 1114004009 02097890 206900 WestchesterIndividual No 1073513735 00549413 120730 RocklandIndividual No 1609877125 00945657 120598 RocklandIndividual No 1952341364 01027343 159310 WestchesterIndividual No 1851478648 01415690 188101 WestchesterIndividual No 1770585432 01689183 204505 WestchesterIndividual No 1104814292 01859489 205061 WestchesterIndividual No 1841247202 02923279 236164 WestchesterIndividual No 1588631816 02288806 005792 WestchesterIndividual No 1487614707 02683663 227402 Dutchess
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1790775583 01529079 191103 WestchesterIndividual No 1063568921 00920521 164473 WestchesterIndividual No 1457332587 00645643 134705 WestchesterIndividual No 1518194422 03122350 240261 WestchesterIndividual No 1609165240 03546976 255160 WestchesterIndividual No 1104828862 02108134 213619 WestchesterIndividual No 1720070337 00972945 167669 WestchesterIndividual No 1568498178 03029967 222365 WestchesterIndividual No 1295700920 03355786 238082 WestchesterIndividual No 1184798423 01580978 200372 WestchesterIndividual No 1578591319 03185893 254343 DutchessIndividual No 1407848278 01654544 189995 WestchesterIndividual No 1194893461 02168770 206024 WestchesterIndividual No 1740356732 00795675 148870 WestchesterIndividual No 1003031824 01526470 044619 WestchesterIndividual No 1164406799 00835209 136873 WestchesterIndividual No 1437149374 00421114 N002496 WestchesterIndividual No 1528069150 02548350 228909 WestchesterIndividual No 1992916241 02902358 244312 WestchesterIndividual No 1740280957 01424184 172940 WestchesterIndividual No 1356650980 03651109 258723 WestchesterIndividual No 1710127956 03265809 260060 WestchesterIndividual No 1437111648 03429563 252353 DutchessIndividual No 1437222882 03293730 239692 WestchesterIndividual No 1932202918 03503197 211123 WestchesterIndividual No 1437122868 02278779 223743 WestchesterIndividual No 1306948278 02479321 210630 WestchesterIndividual No 1174628143 00188803 107284 WestchesterIndividual No 1720024995 03039916 222763 OrangeIndividual Yes 1912034257 02858368 241628 WestchesterIndividual No 1578625935 01593122 197943 WestchesterIndividual No 1336184290 02041087 204019 WestchesterIndividual No 1154321131 00785460 125565 WestchesterIndividual No 1043254865 00466995 127385 WestchesterIndividual No 1124068465 01468015 185325 WestchesterIndividual No 1881852564 03466075 248057 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1588812820 03492633 264192 WestchesterIndividual No 1669701298 03336541 257225 WestchesterIndividual No 1184791071 02687185 223627 WestchesterIndividual No 1669587879 01475350 171207 WestchesterIndividual No 1811165301 03023576 247488 WestchesterIndividual No 1689799843 00732545 131747 WestchesterIndividual No 1649279712 01814891 181405 RocklandIndividual No 1043318207 01821796 207930 WestchesterIndividual No 1013211879 03655410 253642 WestchesterIndividual No 1588601793 00887554 134320 WestchesterIndividual No 1780772863 00195482 109914 WestchesterIndividual No 1508850843 02578554 232612 WestchesterIndividual No 1548265796 00203241 112332 WestchesterIndividual No 1518021914 01745055 129567 WestchesterIndividual No 1437210812 02059709 197295 WestchesterIndividual No 1639266299 01005054 161046 WestchesterIndividual No 1871593590 02622631 219316 WestchesterIndividual No 1851474035 01162665 178179 WestchesterIndividual No 1801936539 01390867 174209 WestchesterIndividual No 1104925858 00904421 148617 WestchesterIndividual No 1669414892 01644866 191451 WestchesterIndividual No 1740200021 02423476 228087 WestchesterIndividual No 1679675839 03146710 241372 WestchesterIndividual Yes 1063683779 03321753 260327 WestchesterIndividual No 1528066701 00951148 139119 WestchesterIndividual No 1942437041 03137771 252442 WestchesterIndividual No 1386640498 01833256 180234 WestchesterIndividual Yes 1992758239 01105375 164679 WestchesterIndividual No 1023054202 02073352 206338 WestchesterIndividual No 1063447845 00712336 150184 WestchesterIndividual No 1144248311 02156316 218070 WestchesterIndividual No 1134255052 02937406 245878 WestchesterIndividual No 1184924565 00736003 143984 WestchesterIndividual No 1447331608 02211892 206268 WestchesterIndividual No 1336151950 02085252 213759 WestchesterIndividual No 1467416172 02410391 221730 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1235248303 01295578 179608 WestchesterIndividual No 1689648545 02499383 228890 WestchesterIndividual No 1225060023 01761779 205060 RocklandIndividual No 1861496481 01010535 151151 WestchesterIndividual No 1184721078 00632137 132595 WestchesterIndividual No 1780777581 00762294 131487 WestchesterIndividual No 1043257108 00687054 135421 WestchesterIndividual No 1861492811 00352850 099493 RocklandIndividual No 1326083593 01723582 143495 WestchesterIndividual No 1689676678 00682673 131116 WestchesterIndividual No 1346321593 00373859 114860 WestchesterIndividual No 1730117144 00486131 127676 WestchesterIndividual Yes 1770571135 01545091 190136 WestchesterIndividual No 1477655470 02336987 219693 WestchesterIndividual No 1396868485 02889930 242494 WestchesterIndividual No 1053313999 01740743 205923 WestchesterIndividual No 1770660797 02270919 214453 WestchesterIndividual No 1053449991 00904903 145186 WestchesterIndividual No 1316038326 01585877 194663 WestchesterIndividual No 1942289541 01732205 190144 WestchesterIndividual No 1700819760 01283949 186070 WestchesterIndividual No 1134160799 02580707 210287 WestchesterIndividual No 1164571998 01678019 201486 WestchesterIndividual No 1528206729 03488084 261823 WestchesterIndividual Yes 1578660304 02758450 223759 WestchesterIndividual No 1184784191 00942287 133924 WestchesterIndividual Yes 1275613739 01837907 189318 WestchesterIndividual No 1023202918 03248533 240710 WestchesterIndividual No 1457361545 01600504 199832 WestchesterIndividual No 1548248503 03589640 267728 DutchessIndividual No 1538122932 01999999 203687 WestchesterIndividual No 1467679944 02362738 221503 WestchesterIndividual Yes 1316917867 01978385 204203 WestchesterIndividual Yes 1427199942 02873063 240790 WestchesterIndividual No 1982622742 01849632 191404 WestchesterIndividual No 1194086108 03581160 266481 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1396745519 01403736 174804 WestchesterIndividual Yes 1134189194 01643567 196257 WestchesterIndividual Yes 1275595787 02118647 193055 WestchesterIndividual No 1609800150 00964470 152084 WestchesterIndividual No 1932297629 00865903 003766 WestchesterIndividual No 1780876268 02965864 245574 WestchesterIndividual No 1407862998 01990436 206325 WestchesterIndividual No 1649430729 03734241 260515 WestchesterIndividual No 1477532828 01790138 204489 WestchesterIndividual No 1710065602 02677443 236762 WestchesterIndividual No 1619072154 01317660 179860 WestchesterIndividual No 1497719694 00851987 N003773 WestchesterIndividual No 1366558892 01587580 184981 WestchesterIndividual No 1881782985 01019043 164225 WestchesterIndividual No 1073768404 03309262 258345 WestchesterIndividual No 1689661563 02270735 216183 WestchesterIndividual No 1629250956 03733997 267893 WestchesterIndividual Yes 1558513853 03116754 245931 WestchesterIndividual No 1134252059 01178129 N004477 WestchesterIndividual No 1093884215 00499436 1381129 WestchesterIndividual No 1760627814 03312787 258364 WestchesterIndividual No 1013181023 03019936 245503 WestchesterIndividual No 1548330970 03019945 229985 WestchesterIndividual No 1366451924 00729740 150851 WestchesterIndividual No 1295709640 01395519 169285 WestchesterIndividual No 1730357088 03056957 247039 WestchesterIndividual No 1629237144 03422382 259827 WestchesterIndividual No 1326168873 01130267 172714 WestchesterIndividual No 1881787018 02585000 226775 DutchessIndividual No 1164680138 03104336 245483 WestchesterIndividual No 1407800303 01712569 198911 WestchesterIndividual No 1881678100 01472444 192303 WestchesterIndividual No 1356425128 01026195 170624 WestchesterIndividual No 1881752442 01839174 160355 WestchesterIndividual No 1043258023 02336890 196606 WestchesterIndividual No 1093717886 02849407 232425 Dutchess
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1578725321 03333442 260110 WestchesterIndividual No 1447489737 03752563 261209 WestchesterIndividual No 1730189200 01150870 N004620 WestchesterIndividual No 1386712370 02919097 226307 WestchesterIndividual No 1578547618 02852784 218671 DutchessIndividual No 1629061262 01643732 N005060 WestchesterIndividual No 1215901350 01902107 158743 WestchesterIndividual No 1598977555 02882593 230146 WestchesterIndividual No 1568431179 01686873 209347 WestchesterIndividual No 1558361295 03734287 272380 WestchesterIndividual No 1184710386 02414780 224380 WestchesterIndividual No 1417902883 02605241 212535 DutchessIndividual No 1346545043 03733915 268062 WestchesterIndividual No 1548405129 03733873 264533 WestchesterIndividual No 1700811155 02121066 218382 WestchesterIndividual Yes 1043390511 02356985 224715 WestchesterIndividual Yes 1750336665 01981942 213687 WestchesterIndividual No 1003832437 01413309 181559 WestchesterIndividual No 1174720643 03586569 256972 WestchesterIndividual No 1609907120 01413152 167719 WestchesterIndividual No 1154556801 03132212 244447 WestchesterIndividual No 1336477173 03394185 263141 DutchessIndividual No 1891795647 00695607 131155 WestchesterIndividual No 1528088168 00559513 092376 WestchesterIndividual No 1790742104 03029949 233917 WestchesterIndividual No 1699744318 02500801 227520 WestchesterIndividual No 1730345794 03164261 253984 WestchesterIndividual No 1750483194 02883989 227715 WestchesterIndividual No 1932256450 03106416 239625 WestchesterIndividual No 1124376942 03748423 271614 WestchesterIndividual No 1093793093 00403278 N002546 WestchesterIndividual No 1942341938 02336450 186036 WestchesterIndividual No 1518049782 01953502 202892 WestchesterIndividual No 1275566309 01704585 203583 WestchesterIndividual No 1184848822 00715513 140078 WestchesterIndividual Yes 1699777441 01198181 172123 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1366670986 03153880 253993 WestchesterIndividual No 1639153752 00595946 146194 WestchesterIndividual No 1992951925 03202568 245129 WestchesterIndividual No 1790845386 01212091 167926 WestchesterIndividual No 1871511048 00828840 149952 WestchesterIndividual No 1093742942 01861852 210846 WestchesterIndividual Yes 1255411815 01895876 210835 WestchesterIndividual No 1093716094 02111264 211394 WestchesterIndividual No 1043255631 02794461 238747 WestchesterIndividual No 1669430666 02785275 226151 WestchesterIndividual No 1255330395 00735328 N003428 WestchesterIndividual No 1437120466 00766601 150211 WestchesterIndividual No 1023070976 01085390 145841 WestchesterIndividual No 1497808638 02944705 006174 OrangeIndividual No 1235231051 01900063 194752 DutchessIndividual No 1801972641 02616773 233433 WestchesterIndividual Yes 1578746350 02962389 247049 WestchesterIndividual No 1184606139 02529546 2307777 WestchesterIndividual No 1144221144 01524758 189329 WestchesterIndividual No 1639194855 00213781 115637 WestchesterIndividual No 1003906801 02635885 234613 WestchesterIndividual No 1518069434 01071154 154078 WestchesterIndividual No 1750487336 01614699 206587 WestchesterIndividual No 1376647511 00764383 129784 WestchesterIndividual No 1528077732 01577820 205041 WestchesterIndividual No 1619911997 01749559 204631 WestchesterIndividual No 1750441069 00836291 151069 WestchesterIndividual No 1144356668 01025194 169981 WestchesterIndividual No 1831125913 02149553 210253 WestchesterIndividual No 1033296439 01125819 168949 WestchesterIndividual No 1568577625 02815745 212885 WestchesterIndividual No 1700806148 00171311 100041 WestchesterIndividual No 1538240783 00431489 118316 WestchesterIndividual No 1932160041 03294837 259098 DutchessIndividual No 1700982055 01414942 172773 WestchesterIndividual No 1841213568 01064162 152568 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1841274800 00889327 161737 WestchesterIndividual No 1104938133 01294233 147103 WestchesterIndividual No 1952301103 01740394 196748 WestchesterIndividual No 1053492215 00248893 117196 WestchesterIndividual No 1639137540 02582396 229134 WestchesterIndividual No 1831155043 02155397 219726 WestchesterIndividual No 1538260831 00493816 095559 WestchesterIndividual No 1518072636 03147046 212860 WestchesterIndividual No 1689763278 03589186 2666665 DutchessIndividual No 1497711972 01089734 151714 WestchesterIndividual No 1366687139 03461667 263964 WestchesterIndividual No 1255429767 01728541 193278 WestchesterIndividual No 1609863596 01740427 198033 WestchesterIndividual No 1144498080 03456888 258751 WestchesterIndividual No 1235224858 01902721 203483 WestchesterIndividual No 1588647242 00893458 160164 WestchesterIndividual No 1023111564 00934029 160165 WestchesterIndividual No 1720043920 01019209 148454 WestchesterIndividual No 1750486031 00709408 132447 WestchesterIndividual No 1235196320 01231589 176322 WestchesterIndividual No 1871678607 01248700 184798 WestchesterIndividual No 1417946294 01229405 172145 WestchesterIndividual No 1619083524 02552716 162459 WestchesterIndividual No 1922048131 00594445 131193 WestchesterIndividual No 1952499113 00246566 109672 WestchesterIndividual No 1821064825 02729037 228756 WestchesterIndividual No 1720013139 01162963 166893 WestchesterIndividual No 1659307734 00313768 120565 WestchesterIndividual No 1275577470 02371653 223322 WestchesterIndividual No 1295890218 00750445 033097 WestchesterIndividual No 1912972548 01152625 179947 WestchesterIndividual No 1265494124 01269112 168310 WestchesterIndividual No 1588739825 00165068 097592 WestchesterIndividual No 1033219431 00690868 144429 WestchesterIndividual No 1386720100 02552963 222743 WestchesterIndividual No 1346334604 02439494 224276 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1033157243 00839092 158907 WestchesterIndividual No 1750338869 02379922 227254 WestchesterIndividual No 1053345579 00278620 128065 WestchesterIndividual No 1245265297 01546890 186480 WestchesterIndividual No 1437177011 01102661 175597 WestchesterIndividual No 1710023049 02906247 228104 WestchesterIndividual No 1912997115 03504932 264867 DutchessIndividual No 1831183433 02129124 219628 WestchesterIndividual No 1073769154 03716676 270376 WestchesterIndividual No 1710951108 00491456 119251 WestchesterIndividual No 1346343639 02093387 239631 WestchesterIndividual No 1841453263 03530774 266801 WestchesterIndividual No 1275527632 01679556 183062 WestchesterIndividual No 1083626261 01046937 148740 WestchesterIndividual No 1578577276 01132943 164294 WestchesterIndividual No 1871556274 01025396 161959 WestchesterIndividual No 1538258488 01384812 190315 WestchesterIndividual Yes 1326073552 02632566 233145 WestchesterIndividual No 1558356287 01704136 192235 WestchesterIndividual No 1396731824 01828642 20861 WestchesterIndividual No 1487694626 02753620 239528 WestchesterIndividual No 1568498640 02358625 222141 WestchesterIndividual No 1750422689 02337020 186899 WestchesterIndividual No 1588738868 01649325 186579 WestchesterIndividual No 1841274172 01707473 177502 WestchesterIndividual No 1851573901 00396194 124255 WestchesterIndividual No 1932192606 00131186 085537 WestchesterIndividual No 1679663900 01693461 203649 WestchesterIndividual No 1245219856 02642717 214894 WestchesterIndividual No 1639142078 01851243 182703 WestchesterIndividual No 1578586533 02810382 246636 WestchesterIndividual No 1629205281 03734269 272751 WestchesterIndividual No 1306865860 01969346 005213 RocklandIndividual No 1043224025 01367335 173873 WestchesterIndividual No 1154365450 02884568 203002 WestchesterIndividual No 1275712580 01839472 168673 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1396804480 00213016 115455 WestchesterIndividual Yes 1891701579 02432704 226934 WestchesterIndividual No 1770509655 02216140 220942 WestchesterIndividual No 1417178575 02888177 233039 WestchesterIndividual No 1821077702 00816986 154301 WestchesterIndividual No 1710092234 02719919 235629 WestchesterIndividual No 1811949670 01392447 160375 WestchesterIndividual No 1750470837 02053189 211927 WestchesterIndividual No 1487643177 01762252 207284 WestchesterIndividual No 1245203686 02001545 200130 WestchesterIndividual No 1174683742 01850751 156412 WestchesterIndividual No 1114029261 00742310 146758 WestchesterIndividual No 1003998667 03221634 217933 WestchesterIndividual No 1427218403 03248946 257949 WestchesterIndividual No 1760470173 01748181 206193 WestchesterIndividual No 1770522807 01464671 193746 WestchesterIndividual No 1811997257 02311791 214805 WestchesterIndividual No 1326044439 00507497 101265 WestchesterIndividual No 1659514784 03733759 259270 WestchesterIndividual No 1609805449 01771562 161366 WestchesterIndividual No 1518903772 01670108 194869 WestchesterIndividual No 1588605893 01618588 165486 WestchesterIndividual No 1730145194 01256220 173320 WestchesterIndividual No 1215017769 02107835 216884 WestchesterIndividual No 1184056319 03811694 006579 WestchesterIndividual No 1750354973 03716447 268380 DutchessIndividual No 1811950850 02780707 231379 WestchesterIndividual No 1720247471 03195493 225403 WestchesterIndividual No 1275623555 00991240 165666 WestchesterIndividual No 1346329646 00229254 121898 WestchesterIndividual No 1114060753 01512849 040110 WestchesterIndividual No 1831193457 00440368 132616 WestchesterIndividual No 1700896487 02068720 211099 WestchesterIndividual No 1265449888 01669158 195436 WestchesterIndividual No 1851334684 01819290 005195 WestchesterIndividual No 1942466339 03688259 270654 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1255350054 02655778 218511 WestchesterIndividual Yes 1447415302 03151668 253148 WestchesterIndividual No 1780750232 03293890 214774 WestchesterIndividual No 1912928524 01054071 148532 WestchesterIndividual Yes 1811041288 03347151 248109 WestchesterIndividual No 1427184852 00304967 084947 WestchesterIndividual No 1407875966 01970043 004857 RocklandIndividual No 1649359688 01801587 200797 WestchesterIndividual No 1518256510 03340489 260823 WestchesterIndividual No 1902833536 02671965 231622 DutchessIndividual No 1861651143 03651232 243810 WestchesterIndividual No 1063590826 02904552 199083 WestchesterIndividual Yes 1467478560 03094222 243857 WestchesterIndividual No 1174843213 03413870 257773 WestchesterIndividual No 1447365879 01848888 165048 WestchesterIndividual No 1780698019 02892148 236166 DutchessIndividual No 1306892286 03581151 177051 WestchesterIndividual No 1396059150 03734329 272646 WestchesterIndividual No 1215056502 01216453 169309 WestchesterIndividual No 1376560870 02648268 333949 WestchesterIndividual No 1568495786 01355706 300741 WestchesterIndividual No 1437178860 03755057 187397 WestchesterIndividual No 1093760050 00134689 086623 WestchesterIndividual No 1871666966 02494677 F430089 WestchesterIndividual 1578678900 191384 WestchesterIndividual 1912011107 236870-1 BronxIndividual 1235196320 181622-1 WestchesterSt Joseph's Medical Center IPA 1083632392 225580 WestchesterIndividual 1235196320 176322-1 WestchesterDentServ 029977-1 BronxIndividual 1609873041 N003697-1 BrooklynIndividual 1760423321 TUV004881-1 NassauPark Ave Health Care 1033122619 013320-1 WestchesterIndividual 1255312518 202436 WestchesterIndividual 1811933088 156006 WestchesterPark Ave Health Care 1689747669 15648 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
So. West. Orthopedics 1578542296 121222 WestchesterIndividual 1588611685 202685 WestchesterIndividual 1053358689 180848 WestchesterPark Ave Health Care 1255401931 012313-1 WestchesterIndividual 1437122868 223743 WestchesterIndividual 1770571135 190136 WestchesterPark Ave Health Care 1205035383 246228 WestchesterIndividual 1992951925 245129 WestchesterIndividual 1255306973 195964 BronxIndividual 1346343639 239631-1 WestchesterWestchester Neurological 1568498640 222141-1 WestchesterPark Ave Health Care 1396762837 432101-1 WestchesterIndividual 1215017769 216884 Westchester
1043260938 2324885 206931 DutchessIndividual Yes 1891865085 01877696 212004 WestchesterIndividual Yes 1881809135 03017521 237762 WestchesterIndividual No 1417949421 02164767 220558 WestchesterIndividual No 1194070904 03486931 265832 WestchesterIndividual Yes 1992741151 01337911 148174 WestchesterIndividual No 1346242120 01389486 190207 WestchesterIndividual Yes 1386749935 01579226 193612 WestchesterIndividual No 1114968799 00632119 129584 WestchesterIndividual No 1063568921 00920521 164473 WestchesterIndividual No 1437197837 01944352 213695 WestchesterIndividual No 1518021914 01745055 129567 WestchesterIndividual Yes 1912011107 02806182 236870 WestchesterIndividual No 1750382966 02466448 193612 WestchesterIndividual No 1407954134 03401916 265547 WestchesterIndividual No 1477532828 01790138 204489 WestchesterIndividual Yes 1932174307 00963740 085214 WestchesterIndividual No 1942645924 03678246 271036 WestchesterIndividual No 1255585634 03608606 269327 WestchesterIndividual No 1871617316 02896555 244761 WestchesterIndividual Yes 1578746350 02962389 247049 WestchesterIndividual No 1528077732 01577820 205041 WestchesterIndividual No 1619911997 01749559 204631 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1033296439 01125819 168949 WestchesterIndividual Yes 1174598973 02041367 188336 WestchesterIndividual Yes 1548234412 00399679 135118 WestchesterIndividual No 1366687139 03461667 263964 WestchesterIndividual Yes 1255306973 01528743 195964 WestchesterIndividual No 1750486031 00709408 132447 WestchesterIndividual No 1720179443 01474524 191988 WestchesterIndividual No 1699110569 03734145 272152 WestchesterIndividual No 1225284599 03434397 249344 WestchesterIndividual No 1275626400 02194970 206393 WestchesterIndividual No 1467522656 02763115 237612 WestchesterIndividual No 1518932318 02270982 222661 WestchesterIndividual No 1962477760 02181235 219034 WestchesterIndividual No 1215017769 02107835 216884 WestchesterIndividual Yes 1215902010 02041505 208086 WestchesterIndividual No 1073625661 02805058 241176 WestchesterIndividual No 1346329646 00229254 121898 WestchesterSaint Joseph's Medical Center 1649415530 03399731 259106 WestchesterIndividual No 1326127218 02843763 050522 WestchesterIndividual No 1841406030 01115939 041868 WestchesterIndividual No 1124272737 02813174 050529 WestchesterIndividual No 1316061872 03362594 041793 WestchesterIndividual No 1316151699 01346905 043923 WestchesterIndividual No 1912118704 03022846 048056 WestchesterSt. Vincent's Hospital Westchester 1780898494 03739388 478425 WestchesterSt. Vincent's Hospital Westchester 1407864903 02595215 332953 WestchesterSt. Vincent's Hospital Westchester 1992978308 03058844 400984 WestchesterIndividual No 1104016955 03206457 334907 Westchester21st Century Radiation Oncology 1124382304 00858728 153843 Westchester21st Century Radiation Oncology 1992916241 02902358 244312 WestchesterBroadway Medical Services 1578728879 03015074 248835 WestchesterDoctors United 1081055462 03278939 250854 WestchesterMedExcel Emergency Physician Services 1043531866 03647023 269576 WestchesterMedExcel Emergency Physician Services 1568441244 03648060 219751 WestchesterMedExcel Emergency Physician Services 1245480474 03240719 250948 WestchesterMedExcel Emergency Physician Services 1700844255 01498517 168975 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
MedExcel Emergency Physician Services 1285775148 01506349 155111 WestchesterMedExcel Emergency Physician Services 1972541621 02712554 224403 WestchesterMedExcel Emergency Physician Services 1720384308 03462719 261489 WestchesterMedExcel Emergency Physician Services 1710177530 01649063 200847 WestchesterMedExcel Emergency Physician Services 1225284599 03434397 249344 WestchesterMedExcel Emergency Physician Services 1003844374 01415461 186039 WestchesterNew York Medical College 1114120839 01141015 171089 WestchesterNew York Radiology Alliance 1962494997 02958327 243670 WestchesterNew York Radiology Alliance 1285659649 02784921 240456 WestchesterNew York Radiology Alliance 1992787121 02161099 203666 WestchesterNew York Radiology Alliance 1467452995 02229876 203184 WestchesterNew York Radiology Alliance 1124000674 02010295 146892 WestchesterNew York Radiology Alliance 1619959327 02210837 212859 WestchesterNew York Radiology Alliance 1780666883 01749802 192141 WestchesterNew York Radiology Alliance 1083869226 03119257 252856 WestchesterNew York Radiology Alliance 1891733713 02458597 144847 WestchesterNew York Radiology Alliance 1699984682 02881276 243694 WestchesterNew York Radiology Alliance 1821085481 03264500 220051 WestchesterNew York Radiology Alliance 1750608030 03448304 251605 WestchesterNew York Radiology Alliance 1245238278 01827527 199665 WestchesterNew York Radiology Alliance 1306828744 02256866 223707 WestchesterNew York Radiology Alliance 1790793560 01849389 183152 WestchesterNew York Radiology Alliance 1598052292 03729233 266333 WestchesterNew York Radiology Alliance 1063526630 03083965 152049 WestchesterNew York Radiology Alliance 1679556088 00877963 109477 WestchesterNew York Radiology Alliance 1326056995 02343039 162767 WestchesterNew York Radiology Alliance 1922011618 02051081 200410 WestchesterNew York Radiology Alliance 1194933911 03374150 260805 WestchesterNew York Radiology Alliance 1356413785 02321497 220661 WestchesterNew York Radiology Alliance 1912295759 03439434 264409 WestchesterNew York Radiology Alliance 1568459501 00659545 131982 WestchesterNew York Radiology Alliance 1588825012 03441843 243453 WestchesterNew York Radiology Alliance 1770566580 00148921 092385 WestchesterNew York Radiology Alliance 1811970627 00422317 116358 WestchesterNew York Radiology Alliance 1326289679 03291834 251802 WestchesterNew York Radiology Alliance 1285842096 03113600 253589 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
New York Radiology Alliance 1659530921 03119573 248530 WestchesterNew York Radiology Alliance 1942283767 01022224 151527 WestchesterNew York Radiology Alliance 1346462629 02878086 235434 WestchesterNew York Radiology Alliance 1982818373 03293565 238696 WestchesterNew York Radiology Alliance 1992788459 02489027 224598 WestchesterNew York Radiology Alliance 1326021163 01507639 170720 WestchesterNew York Radiology Alliance 1508840505 01167115 143114 WestchesterPark Avenue Medical Associates 1801896774 02551682 225547 WestchesterPark Avenue Medical Associates 1114132412 03168687 255307 WestchesterPark Avenue Medical Associates 1023018926 02553693 231044 WestchesterPark Avenue Medical Associates 1457358301 00903939 155370 WestchesterPark Avenue Medical Associates 1578563466 01565099 181083 WestchesterPark Avenue Medical Associates 1093715989 01270942 182835 WestchesterPark Avenue Medical Associates 1528068434 01428115 192755 WestchesterPark Avenue Medical Associates 1144220989 01951257 214579 WestchesterPark Avenue Medical Associates 1598765356 00736012 123328 WestchesterPark Avenue Medical Associates 1780913459 03292739 257887 WestchesterPark Avenue Medical Associates 1902806888 01973808 211420 WestchesterPark Avenue Medical Associates 1407954134 03401916 265547 WestchesterPark Avenue Medical Associates 1407856180 02212908 221500 WestchesterPark Avenue Medical Associates 1790785509 02586189 228693 WestchesterPark Avenue Medical Associates 1831199553 01099201 160114 WestchesterPark Avenue Medical Associates 1508029042 03360872 261982 WestchesterPark Avenue Medical Associates 1619125218 01724309 173647 WestchesterPark Avenue Medical Associates 1346389780 02772443 233675 WestchesterRamapo Anesthesiology 1225020324 00789877 128951 WestchesterRamapo Anesthesiology 1750374179 01860659 196067 WestchesterRamapo Anesthesiology 1457580979 03140021 253894 RocklandRamapo Anesthesiology 1417932435 02438888 215762 WestchesterRamapo Anesthesiology 1720206303 03503606 246197 RocklandRamapo Anesthesiology 1780699348 01502294 183858 RocklandRamapo Anesthesiology 1295995066 03262686 256181 WestchesterRamapo Anesthesiology 1649435066 03350254 258085 RocklandRamapo Anesthesiology 1033384250 03517815 259814 RocklandRiverdale Family Practice 1174616577 01886704 185409 WestchesterSaint Joseph's Family Health Center 1437197837 01944352 213695 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Saint Joseph's Family Medicine 1194070904 03486931 265832 WestchesterSaint Joseph's Family Medicine 1699110569 03734145 272152 WestchesterSaint Joseph's Medical Center 1700032794 03432313 256711 WestchesterSaint Joseph's Medical Center 1851366231 00196709 110226 WestchesterSaint Joseph's Medical Center 1891865085 01877696 212004 WestchesterSaint Joseph's Medical Center 1225297971 03473154 262213 WestchesterSaint Joseph's Medical Center 1619942646 02180312 214727 WestchesterSaint Joseph's Medical Center 1649394461 03315611 252152 WestchesterSaint Joseph's Medical Center 1174615843 01839436 167371 WestchesterSaint Joseph's Medical Center 1285678623 01974785 207877 WestchesterSaint Joseph's Medical Center 1588611685 01689014 267574 WestchesterSaint Joseph's Medical Center 1700932175 01190110 180678 WestchesterSaint Joseph's Medical Center 1992741151 01337911 148174 WestchesterSaint Joseph's Medical Center 1497050587 03429150 259587 WestchesterSaint Joseph's Medical Center 1104814292 01859489 205061 WestchesterSaint Joseph's Medical Center 1598922866 03031454 237047 WestchesterSaint Joseph's Medical Center 1205801545 02754507 233718 WestchesterSaint Joseph's Medical Center 1245354083 02958776 246834 WestchesterSaint Joseph's Medical Center 1407864895 02937231 239185 WestchesterSaint Joseph's Medical Center 1467543827 03232262 225918 WestchesterSaint Joseph's Medical Center 1366683112 03127800 251114 WestchesterSaint Joseph's Medical Center 1912294760 03655525 269225 WestchesterSaint Joseph's Medical Center 1629043963 01240853 162337 WestchesterSaint Joseph's Medical Center 1972618429 01841001 164934 WestchesterSaint Joseph's Medical Center 1538310255 01795335 207327 WestchesterSaint Joseph's Medical Center 1487947974 03657572 270315 WestchesterSaint Joseph's Medical Center 1316182074 03074962 254642 WestchesterSaint Joseph's Medical Center 1780977421 03440104 268538 WestchesterSaint Joseph's Medical Center 1083912158 03483507 260378 WestchesterSaint Joseph's Medical Center 1205802592 01683563 202308 WestchesterSaint Joseph's Medical Center 1104892496 00250766 112823 WestchesterSaint Joseph's Medical Center 1164493193 00930630 163061 WestchesterSaint Joseph's Medical Center 1891007142 03609074 267689 WestchesterSaint Joseph's Medical Center 1215902010 02041505 208086 WestchesterSaint Joseph's Medical Center 1073625661 02805058 241176 WestchesterSaint Joseph's Medical Center 1073773040 03785215 249589 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Saint Joseph's Medical Center 1225125305 02748323 186244 WestchesterSouth Yonkers Family Medicine 1346242120 01389486 190207 WestchesterSouth Yonkers Family Medicine 1063568921 00920521 164473 WestchesterSouth Yonkers Family Medicine 1750382966 02466448 228788 WestchesterSouthern Westchester Infectious Disease Gr 1720156094 01415723 182793 WestchesterSouthern Westchester Infectious Disease Gr 1881761245 01091143 149037 WestchesterSouthern Westchester Infectious Disease Gr 1194893461 02168770 206024 WestchesterSt. Joseph's Family Health Center 1063487080 00990294 137261 WestchesterSt. Joseph's Family Health Center 1932174307 00963740 085214 WestchesterSt. Joseph's Family Health Center 1942645924 03678246 271036 WestchesterSt. Joseph's Family Health Center 1255585634 03608606 269327 WestchesterSt. Joseph's Family Health Center 1871617316 02896555 244761 WestchesterSt. Joseph's Family Health Center 1174598973 02041367 188336 WestchesterSt. Joseph's Family Health Center 1275626400 02194970 206393 WestchesterSt. Joseph's Family Health Center 1467522656 02763115 237612 WestchesterSt. Joseph's Family Health Center 1518932318 02270982 222661 WestchesterSt. Joseph's Family Health Center 1619136652 03038337 381955 WestchesterSt. Joseph's Medical Practice 1114968799 00632119 129584 WestchesterSt. Vincent's Hospital Westchester 1154503233 03213196 249220 WestchesterSt. Vincent's Hospital Westchester 1679719777 03484273 264992 WestchesterSt. Vincent's Hospital Westchester 1043395486 03213201 248389 WestchesterSt. Vincent's Hospital Westchester 1720046501 00185906 106063 WestchesterSt. Vincent's Hospital Westchester 1104809748 00992407 158795 WestchesterSt. Vincent's Hospital Westchester 1497069389 03579788 139402 WestchesterSt. Vincent's Hospital Westchester 1225177553 01796836 199617 WestchesterSt. Vincent's Hospital Westchester 1912120726 03189659 241706 WestchesterSt. Vincent's Hospital Westchester 1487606141 02360236 219098 WestchesterSt. Vincent's Hospital Westchester 1205801511 02730252 251346 WestchesterSt. Vincent's Hospital Westchester 1114066305 00488335 142105 WestchesterSt. Vincent's Hospital Westchester 1881814929 01574038 187826 WestchesterSt. Vincent's Hospital Westchester 1154447282 02725919 183990 WestchesterSt. Vincent's Hospital Westchester 1255472973 02777842 210027 WestchesterSt. Vincent's Hospital Westchester 1841339298 00216160 116778 WestchesterSt. Vincent's Hospital Westchester 1092998255 02276873 224855 WestchesterSt. Vincent's Hospital Westchester 1487654653 01210104 183800 WestchesterSt. Vincent's Hospital Westchester 1073699781 03603876 272436 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
St. Vincent's Hospital Westchester 1124168893 02521864 224848 WestchesterSt. Vincent's Hospital Westchester 1548597180 03207563 249417 WestchesterSt. Vincent's Hospital Westchester 1184659906 02425592 220850 WestchesterSt. Vincent's Hospital Westchester 1639129018 02854891 187326 WestchesterSt. Vincent's Hospital Westchester 1770650061 02540738 167860 WestchesterSt. Vincent's Hospital Westchester 1174558787 01890179 207190 WestchesterSt. Vincent's Hospital Westchester 1922117175 00855798 159426 WestchesterSt. Vincent's Hospital Westchester 1821166844 01728385 094266 WestchesterSt. Vincent's Hospital Westchester 1528125291 00606097 106734 WestchesterSt. Vincent's Hospital Westchester 1114256690 03579971 268446 WestchesterSt. Vincent's Hospital Westchester 1306979794 01134454 159501 WestchesterSt. Vincent's Hospital Westchester 1588688436 02461232 214918 WestchesterSt. Vincent's Hospital Westchester 1417012097 02873141 242016 WestchesterSt. Vincent's Hospital Westchester 1609005164 03579962 258785 WestchesterSt. Vincent's Hospital Westchester 1962522292 01189211 167789 WestchesterSt. Vincent's Hospital Westchester 1104805639 01037470 158946 WestchesterSt. Vincent's Hospital Westchester 1215095898 01696244 150634 WestchesterSt. Vincent's Hospital Westchester 1346259637 02843685 237756 WestchesterSt. Vincent's Hospital Westchester 1871657288 01841670 093337 WestchesterSt. Vincent's Hospital Westchester 1942360821 02036620 176391 WestchesterSt. Vincent's Hospital Westchester 1336353556 03243423 217045 WestchesterSt. Vincent's Hospital Westchester 1255491189 01628651 183854 WestchesterSt. Vincent's Hospital Westchester 1588724413 02271070 194488 WestchesterSt. Vincent's Hospital Westchester 1063549186 01281649 144779 WestchesterSt. Vincent's Hospital Westchester 1669436051 01793237 144633 WestchesterSt. Vincent's Hospital Westchester 1053523738 01841794 121021 WestchesterSt. Vincent's Hospital Westchester 1336186592 03088259 218401 WestchesterSt. Vincent's Hospital Westchester 1629163696 01202482 173032 WestchesterSt. Vincent's Hospital Westchester 1750442802 00597920 130823 WestchesterSt. Vincent's Hospital Westchester 1629125828 02726290 231683 WestchesterSt. Vincent's Hospital Westchester 1669534707 01374809 162820 WestchesterSt. Vincent's Hospital Westchester 1081856877 01857827 183182 WestchesterSt. Vincent's Hospital Westchester 1386706372 01426053 202120 WestchesterWestchester Digestive Disease Group 1083618607 01635749 191381 WestchesterWestchester Digestive Disease Group 1356589725 03102150 239138 WestchesterWestchester Digestive Disease Group 1861496481 01010535 151151 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Westchester Digestive Disease Group 1831193457 00440368 132616 WestchesterWestchester Neurological Consultants 1447270079 02862417 239316 WestchesterWestchester Neurological Consultants 1326078460 02644806 227375 WestchesterWestchester Neurological Consultants 1649430729 03734241 260515 WestchesterYonkers Attending Physician Services 1003081936 03733617 247266 WestchesterYonkers Attending Physician Services 1043226251 03399671 252345 WestchesterYonkers Attending Physician Services 1194823237 01789413 211433 WestchesterYonkers Attending Physician Services 1013146216 03289269 251646 WestchesterYonkers Attending Physician Services 1114209202 03507802 262772 WestchesterYonkers Attending Physician Services 1245528629 03385820 262326 WestchesterYonkers Attending Physician Services 1053451955 02595059 230984 WestchesterYonkers Attending Physician Services 1487631792 01980469 208635 WestchesterYonkers Attending Physician Services 1689836017 03470275 256108 WestchesterYonkers Community Health Center 1720143662 01105366 148027 WestchesterYonkers Community Health Center 1447326673 01725406 190409 WestchesterYonkers Physician Services 1669447009 01885529 174026 WestchesterYonkers Physician Services 1457462236 01420566 148306 WestchesterIndividual No 1932125465 02799219 236741 WestchesterIndividual No 1518035997 01563693 194465 WestchesterIndividual No 1750459921 01169924 176907 WestchesterIndividual No 1104090901 03734076 268725 WestchesterIndividual No 1144309808 01714218 169490 WestchesterIndividual No 1649254178 02162458 197579 WestchesterIndividual No 1134255946 00565595 132861 WestchesterIndividual No 1245382662 00139226 088156 WestchesterIndividual No 1760406847 00366303 120948 WestchesterIndividual No 1457342123 00914645 142450 WestchesterIndividual No 1255312518 01788870 202436 WestchesterIndividual No 1811933088 01565535 156006 WestchesterIndividual No 1598955403 03050626 249982 WestchesterIndividual No 1922195353 00904572 003898 WestchesterIndividual No 1427095785 00743320 124277 WestchesterIndividual No 1811972698 00994674 148605 WestchesterIndividual No 1124253448 03165079 253458 WestchesterIndividual No 1578678900 01411710 191384 WestchesterIndividual No 1518045996 01229565 172954 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1356379622 00984212 151926 WestchesterIndividual Yes 1881809135 03017521 237762 WestchesterIndividual No 1417949421 02164767 220558 WestchesterIndividual No 1033103007 01010764 173247 WestchesterIndividual No 1396715116 00858728 183014 WestchesterIndividual No 1366409229 03031394 229528 WestchesterIndividual No 1093790479 01585006 188243 WestchesterIndividual No 1578542296 00279676 121222 WestchesterIndividual No 1427135862 02104621 218236 WestchesterIndividual No 1013932383 00964118 202685 WestchesterIndividual Yes 1053358689 01744238 180848 WestchesterIndividual No 1669642252 02969166 230418 WestchesterIndividual No 1538180252 02667554 219780 WestchesterIndividual No 1508975640 01398310 190461 WestchesterIndividual No 1033307319 02219950 244988 WestchesterIndividual No 1821108861 01607390 193986 WestchesterIndividual No 1396849733 00138885 088055 WestchesterIndividual Yes 1386749935 01579226 432918 WestchesterIndividual No 1740372457 00398816 124508 WestchesterIndividual No 1003031824 01526470 044619 WestchesterIndividual No 1437122868 02278779 223743 WestchesterIndividual No 1336184290 02041087 204019 WestchesterIndividual No 1669587879 01475350 171207 WestchesterIndividual No 1689799843 00732545 131747 WestchesterIndividual No 1043318207 01821796 207930 WestchesterIndividual No 1013211879 03655410 253642 WestchesterIndividual No 1588601793 00887554 134320 WestchesterIndividual No 1780772863 00195482 109914 WestchesterIndividual No 1528103397 00754889 124105 WestchesterIndividual No 1518021914 01745055 129567 WestchesterIndividual No 1891953469 03686748 250136 WestchesterIndividual No 1669414892 01644866 191451 WestchesterIndividual No 1376577817 02103482 218921 WestchesterIndividual No 1679675839 03146710 241372 WestchesterIndividual No 1225060023 01761779 205060 RocklandIndividual No 1780777581 00762294 131487 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1639158462 02583333 221832 WestchesterIndividual No 1912988320 01786754 207352 WestchesterIndividual No 1609857010 01933691 209238 WestchesterIndividual Yes 1770571135 01545091 190136 WestchesterIndividual No 1659442002 00347773 125638 WestchesterIndividual No 1316038326 01585877 194663 WestchesterIndividual No 1942289541 01732205 190144 WestchesterIndividual No 1922338334 03431358 262404 WestchesterIndividual No 1558359935 01897070 190317 WestchesterIndividual No 1861540296 01990436 206325 WestchesterIndividual No 1295757177 01853447 183699 WestchesterIndividual No 1528025129 02799948 223862 WestchesterIndividual No 1619086873 00443201 110734 WestchesterIndividual No 1477532828 01790138 204489 WestchesterIndividual No 1366558892 01587580 184981 WestchesterIndividual No 1881782985 01019043 164225 WestchesterIndividual No 1073768404 03309262 258345 WestchesterIndividual No 1053390872 02193960 269656 WestchesterIndividual Yes 1386619179 01052304 163487 WestchesterIndividual No 1710951108 00491456 119251 WestchesterIndividual No 1891830253 02877741 227680 WestchesterIndividual No 1154320174 01026246 156197 WestchesterIndividual No 1346398427 01717546 152110 WestchesterIndividual No 1184710386 02414780 224380 WestchesterIndividual No 1548405129 03733873 264533 WestchesterIndividual No 1306946207 00152507 093459 WestchesterIndividual No 1003832437 01413309 181559 WestchesterIndividual No 1174720643 03586569 256972 WestchesterIndividual No 1518049782 01953502 202892 WestchesterIndividual No 1366670986 03153880 253993 WestchesterIndividual No 1992951925 03202568 245129 WestchesterIndividual No 1922090018 02498864 224295 RocklandIndividual No 1437120466 00766601 150211 WestchesterIndividual Yes 1578746350 02962389 247049 WestchesterIndividual No 1639233083 00612377 120860 WestchesterIndividual No 1467494336 01067234 160970 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1003906801 02635885 234613 WestchesterIndividual No 1497958060 03688093 271706 WestchesterIndividual No 1528077732 01577820 205041 WestchesterIndividual No 1619911997 01749559 204631 WestchesterIndividual No 1033296439 01125819 168949 WestchesterIndividual No 1922064435 01726521 173338 WestchesterIndividual Yes 1548234412 00399679 135118 WestchesterIndividual No 1861468159 02178870 087724 WestchesterIndividual No 1831155043 02155397 219726 WestchesterIndividual Yes 1083632392 02441321 225580 WestchesterIndividual No 1366687139 03461667 263964 WestchesterIndividual No 1831279157 00331140 097913 WestchesterIndividual No 1023111564 00934029 160165 WestchesterIndividual No 1790719813 00840088 140136 RocklandIndividual No 1720043920 01019209 148454 WestchesterIndividual No 1750486031 00709408 132447 WestchesterIndividual No 1235196320 01231589 176322 WestchesterIndividual No 1346274966 02458313 227084 WestchesterIndividual No 1720179443 01474524 191988 WestchesterIndividual No 1598772766 00169659 099322 WestchesterIndividual No 1659307734 00313768 120565 WestchesterIndividual No 1477565778 02907606 222908 WestchesterIndividual Yes 1679687024 03183108 241672 WestchesterIndividual No 1346343639 02093387 239631 WestchesterIndividual No 1275527632 01679556 183062 WestchesterIndividual No 1740364975 01227678 149811 WestchesterIndividual Yes 1326073552 02632566 233145 WestchesterIndividual No 1588768964 00750069 134030 WestchesterIndividual No 1568498640 02358625 222141 WestchesterIndividual No 1245219856 02642717 214894 WestchesterIndividual No 1578586533 02810382 246636 WestchesterIndividual No 1396804480 00213016 115455 WestchesterIndividual No 1811949670 01392447 160375 WestchesterIndividual No 1457525701 02961613 239983 WestchesterIndividual No 1336331727 03414019 262906 WestchesterIndividual No 1760470173 01748181 206193 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1063578425 01302670 177494 WestchesterIndividual No 1518903772 01670108 194869 WestchesterIndividual No 1730145194 01256220 173320 WestchesterIndividual No 1962477760 02181235 219034 WestchesterIndividual No 1215017769 02107835 216884 WestchesterIndividual No 1962402156 00319282 132510 WestchesterIndividual No 1346329646 00229254 121898 WestchesterIndividual No 1518256510 03340489 260823 WestchesterHighland Medical PC 1033119599 1026815 167148 RocklandHighland Medical PC 1265432736 1026824 166157 RocklandHighland Medical PC 1780775338 pending 130834 RocklandHighland Medical PC 1851499644 pending 163085 RocklandHighland Medical PC 1629240668 pending 270295 RocklandHighland Medical PC 1275541021 1366292 175057 RocklandHighland Medical PC 1750448635 2890706 241132 RocklandHighland Medical PC 1710045281 496373 096815 RocklandHighland Medical PC 1891890554 2085752 204001 RocklandHighland Medical PC 1477711810 3154721 249409 RocklandHighland Medical PC 1750490314 1186561 167688 RocklandHighland Medical PC 1568543742 pending 134846 RocklandHighland Medical PC 1912078882 1349004 188906 RocklandHighland Medical PC 1952472813 1124881 17413 RocklandHighland Medical PC 1447321310 1544614 154600 RocklandHighland Medical PC 1508937467 1368661 179384 RocklandHighland Medical PC 1780943001 pending 264928 RocklandHighland Medical PC 1801839113 2884206 210583 RocklandHighland Medical PC 1902848567 3029614 238829 RocklandHighland Medical PC 1235186065 1137062 155671 RocklandHighland Medical PC 1801005012 1186589 173416 RocklandHighland Medical PC 1386864486 2387979 218821 RocklandHighland Medical PC 1043295991 834473 143006 RocklandHighland Medical PC 1992093827 pending 267720 RocklandHudson Valley Cardiovascular Practice 1295708253 198725 OrangeHudson Valley Cardiovascular Practice 1265406805 132095 DutchessHudson Valley Cardiovascular Practice 1114990025 252409 OrangeHudson Valley Cardiovascular Practice 1972561363 202115 Dutchess
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Hudson Valley Cardiovascular Practice 1003889924 235596 DutchessHudson Valley Cardiovascular Practice 1720280159 269338 DutchessHudson Valley Cardiovascular Practice 1285799585 249392 DutchessHudson Valley Cardiovascular Practice 1790758688 216298 DutchessHudson Valley Cardiovascular Practice 1114990033 231370 DutchessHudson Valley Cardiovascular Practice 1740253798 199683 DutchessHudson Valley Cardiovascular Practice 1346214970 197634 DutchessHudson Valley Cardiovascular Practice 1770557308 218228 OrangeHudson Valley Cardiovascular Practice 1790951648 235476 DutchessHudson Valley Cardiovascular Practice 1770556706 114302 DutchessHudson Valley Cardiovascular Practice 1205809266 187635 DutchessHudson Valley Cardiovascular Practice 1053306183 260442 DutchessHudson Valley Cardiovascular Practice 1629253547 230535 DutchessHudson Valley Cardiovascular Practice 1053384008 165831 DutchessHudson Valley Cardiovascular Practice 1710950779 202710 OrangeHudson Valley Cardiovascular Practice 1104971084 243243 DutchessHudson Valley Cardiovascular Practice 1396719936 204273 DutchessHudson Valley Cardiovascular Practice 1073586988 222735 DutchessHudson Valley Cardiovascular Practice 1245203165 207732 OrangeHudson Valley Cardiovascular Practice 1366415317 157970 DutchessHudson Valley Cardiovascular Practice 1356315907 235415 DutchessWestchester Jewish CommuniY 1316097934 2608602 179681 WestchesterWestchester Jewish CommuniY 1154503233 3213196 249220 WestchesterWestchester Jewish CommuniY 1972867695 3544763 0F401504 WestchesterWestchester Jewish CommuniY 1770848038 3481752 0F401491 WestchesterWestchester Jewish CommuniY 1053469825 124299 WestchesterWestchester Jewish CommuniY 1881751543 1728376 146444 WestchesterWestchester Jewish CommuniY 1578620381 1853507 201606 WestchesterWestchester Jewish CommuniY 1124329537 3354854 0F401402 WestchesterWestchester Jewish CommuniY 1417012097 273213 242016 WestchesterWestchester Jewish CommuniY 1851512362 2789953 0F400797 WestchesterWestchester Jewish CommuniY 1215092309 1886608 119995 WestchesterPremier Medical Group N 1104910082 03386147 191734 DutchessPremier Medical Group N 1639274699 03386147 205266 DutchessPremier Medical Group N 1285739235 03386147 216244 DutchessPremier Medical Group N 1275627150 03386147 222057 Dutchess
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Premier Medical Group N 1366536245 03386147 233116 DutchessPremier Medical Group N 1982709945 03386147 235851 DutchessPremier Medical Group N 1326144387 03386147 201805 DutchessPremier Medical Group N 1124144498 03386147 260079 DutchessPremier Medical Group N 1598859217 03386147 264930 OrangePremier Medical Group N 1760642037 03386147 264360 OrangePremier Medical Group N 1770676595 03386147 113121 OrangePremier Medical Group N 1417920745 03386147 007391 DutchessPremier Medical Group N 1801176367 03386147 336790 DutchessPremier Medical Group N 1720367238 03386147 305139 DutchessPremier Medical Group N 1376607507 03386147 005510 OrangePremier Medical Group N 1235552456 03386147 338113 DutchessIndividual 155001 SullivanIndividual 196954 SullivanWESTMED Medical Group, PC 1417019407 02127764 216647 WestchesterWESTMED Medical Group, PC 1831354323 03378067 261971 WestchesterWESTMED Medical Group, PC 1992875173 02573559 333711 WestchesterWESTMED Medical Group, PC 1770645756 02511966 194043 WestchesterWESTMED Medical Group, PC 1558447821 01358061 176809 WestchesterWESTMED Medical Group, PC 1548402928 03556365 331331 WestchesterWESTMED Medical Group, PC 1114143492 02888806 243410 WestchesterWESTMED Medical Group, PC 1427051143 00137839 087681 WestchesterWESTMED Medical Group, PC 1790969996 03221592 335225 WestchesterWESTMED Medical Group, PC 1518930825 02252362 208262 WestchesterWESTMED Medical Group, PC 1053477810 02337433 214238 WestchesterWESTMED Medical Group, PC 1780698639 00268199 100863 WestchesterWESTMED Medical Group, PC 1780744276 00622573 140483 WestchesterWESTMED Medical Group, PC 1083908917 03484448 265162 WestchesterWESTMED Medical Group, PC 1124030184 02971406 303903 WestchesterWESTMED Medical Group, PC 1225183338 02268115 330948 WestchesterWESTMED Medical Group, PC 1871756908 03371042 261051 WestchesterWESTMED Medical Group, PC 1770568719 00597755 132057 WestchesterWESTMED Medical Group, PC 1073598033 01669841 199287 WestchesterWESTMED Medical Group, PC 1992901508 03118774 243185 WestchesterWESTMED Medical Group, PC 1104802735 02647652 235484 WestchesterWESTMED Medical Group, PC 1871736942 03110607 248927 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1619101656 03247303 246212 WestchesterWESTMED Medical Group, PC 1013164201 03241458 233889 WestchesterWESTMED Medical Group, PC 1740258169 02661989 219530 WestchesterWESTMED Medical Group, PC 1396877882 02473169 192572 WestchesterWESTMED Medical Group, PC 1982895793 03051714 244173 WestchesterWESTMED Medical Group, PC 1497994792 03263187 255023 WestchesterWESTMED Medical Group, PC 1063440691 01721833 199557 WestchesterWESTMED Medical Group, PC 1205812773 02164872 220292 WestchesterWESTMED Medical Group, PC 1720167356 01760118 202490 WestchesterWESTMED Medical Group, PC 1700937828 03042160 240951 WestchesterWESTMED Medical Group, PC 1184937658 03323448 382158 WestchesterWESTMED Medical Group, PC 1720066467 01074822 174162 WestchesterWESTMED Medical Group, PC 1144205923 02318885 223823 WestchesterWESTMED Medical Group, PC 1245225622 03473705 265352 WestchesterWESTMED Medical Group, PC 1093885287 02654864 333269 WestchesterWESTMED Medical Group, PC 1811972698 00994674 148605 WestchesterWESTMED Medical Group, PC 1689659476 02085110 205022 WestchesterWESTMED Medical Group, PC 1811194962 02900392 232275 WestchesterWESTMED Medical Group, PC 1386679108 00565628 141054 WestchesterWESTMED Medical Group, PC 1861470643 00983793 148075 WestchesterWESTMED Medical Group, PC 1497874168 02364107 207878 WestchesterWESTMED Medical Group, PC 1194833129 02557615 175361 WestchesterWESTMED Medical Group, PC 1750357984 02368129 333488 WestchesterWESTMED Medical Group, PC 1306942289 01141964 160485 WestchesterWESTMED Medical Group, PC 1700861440 01943604 190123 WestchesterWESTMED Medical Group, PC 1629045844 02155342 220481 WestchesterWESTMED Medical Group, PC 1457354169 01414259 171860 WestchesterWESTMED Medical Group, PC 1558347955 01936676 193306 WestchesterWESTMED Medical Group, PC 1619953932 01755173 205606 WestchesterWESTMED Medical Group, PC 1265547236 01566150 187812 WestchesterWESTMED Medical Group, PC 1043200926 02986592 248361 WestchesterWESTMED Medical Group, PC 1922240894 03480926 258579 WestchesterWESTMED Medical Group, PC 1265609309 02168129 304701 WestchesterWESTMED Medical Group, PC 1497717706 01117679 174105 WestchesterWESTMED Medical Group, PC 1003850975 02411163 202060 WestchesterWESTMED Medical Group, PC 1003989757 00669498 141854 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1134216641 00955073 163094 WestchesterWESTMED Medical Group, PC 1669458998 01502881 196360 WestchesterWESTMED Medical Group, PC 1144275736 02357995 225222 WestchesterWESTMED Medical Group, PC 1144279878 02762678 236586 WestchesterWESTMED Medical Group, PC 1346331477 02687167 213793 WestchesterWESTMED Medical Group, PC 1164408365 02023458 213236 WestchesterWESTMED Medical Group, PC 1356332043 02080106 204797 WestchesterWESTMED Medical Group, PC 1336139682 00762730 138456 WestchesterWESTMED Medical Group, PC 1730246232 00897663 161939 WestchesterWESTMED Medical Group, PC 1679562946 01095505 137357 WestchesterWESTMED Medical Group, PC 1639469042 03433007 599085 WestchesterWESTMED Medical Group, PC 1013089390 03251512 257598 WestchesterWESTMED Medical Group, PC 1043437627 02868257 247836 WestchesterWESTMED Medical Group, PC 1396714820 01072893 174308 WestchesterWESTMED Medical Group, PC 1215049184 02130725 161193 WestchesterWESTMED Medical Group, PC 1376529586 00731526 134891 WestchesterWESTMED Medical Group, PC 1356384440 02737144 237657 WestchesterWESTMED Medical Group, PC 1619094976 03033025 000127 WestchesterWESTMED Medical Group, PC 1336206846 01606188 189563 WestchesterWESTMED Medical Group, PC 1356327035 01944307 209157 WestchesterWESTMED Medical Group, PC 1588691141 01372563 144943 WestchesterWESTMED Medical Group, PC 1619012655 00512501 092473 WestchesterWESTMED Medical Group, PC 1063424018 01852771 135286 WestchesterWESTMED Medical Group, PC 1437165495 02514689 230350 WestchesterWESTMED Medical Group, PC 1902882608 01395711 170641 WestchesterWESTMED Medical Group, PC 1790863587 03652191 217522 WestchesterWESTMED Medical Group, PC 1962460758 02683232 236290 WestchesterWESTMED Medical Group, PC 1710963426 02271061 204833 WestchesterWESTMED Medical Group, PC 1609852326 01781873 195971 WestchesterWESTMED Medical Group, PC 1750393716 01852900 168927 WestchesterWESTMED Medical Group, PC 1801966361 01726067 196422 WestchesterWESTMED Medical Group, PC 1841339702 02864900 226951 WestchesterWESTMED Medical Group, PC 1578541371 01986438 212444 WestchesterWESTMED Medical Group, PC 1124117650 01706376 184327 WestchesterWESTMED Medical Group, PC 1083892376 02989384 242684 WestchesterWESTMED Medical Group, PC 1497708861 02394925 204224 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1447208558 03267021 258253 WestchesterWESTMED Medical Group, PC 1740253954 02001316 207537 WestchesterWESTMED Medical Group, PC 1669445391 02136625 220327 WestchesterWESTMED Medical Group, PC 1164650644 03119775 236319 WestchesterWESTMED Medical Group, PC 1205864071 01986167 206321 WestchesterWESTMED Medical Group, PC 1508841685 01920401 202427 WestchesterWESTMED Medical Group, PC 1366763799 03241430 257344 WestchesterWESTMED Medical Group, PC 1720051006 02217132 217385 WestchesterWESTMED Medical Group, PC 1437135746 01314429 187889 WestchesterWESTMED Medical Group, PC 1164434114 02372163 221338 WestchesterWESTMED Medical Group, PC 1629252291 02977351 271016 WestchesterWESTMED Medical Group, PC 1538153705 00973299 163656 WestchesterWESTMED Medical Group, PC 1376593301 01398801 174596 WestchesterWESTMED Medical Group, PC 1720064041 00641089 131888 WestchesterWESTMED Medical Group, PC 1548582018 03428719 335315 WestchesterWESTMED Medical Group, PC 1477655892 01593104 200635 WestchesterWESTMED Medical Group, PC 1801808878 01888242 187766 WestchesterWESTMED Medical Group, PC 1811932478 03256131 257521 WestchesterWESTMED Medical Group, PC 1306926860 02760658 238918 WestchesterWESTMED Medical Group, PC 1093788374 01194325 151221 WestchesterWESTMED Medical Group, PC 1144219346 01849045 172513 WestchesterWESTMED Medical Group, PC 1205986098 02981148 330839 WestchesterWESTMED Medical Group, PC 1689653321 01085749 156936 WestchesterWESTMED Medical Group, PC 1255573341 03480417 265952 WestchesterWESTMED Medical Group, PC 1467438705 01813258 202271 WestchesterWESTMED Medical Group, PC 1801875646 00492342 126015 WestchesterWESTMED Medical Group, PC 1912066846 01695894 171033 WestchesterWESTMED Medical Group, PC 1336138445 02289169 224531 WestchesterWESTMED Medical Group, PC 1174502918 02703148 236084 WestchesterWESTMED Medical Group, PC 1659374353 02181597 215261 WestchesterWESTMED Medical Group, PC 1760441323 00642737 139702 WestchesterWESTMED Medical Group, PC 1093979338 03469972 256793 WestchesterWESTMED Medical Group, PC 1700801032 03233112 257021 WestchesterWESTMED Medical Group, PC 1518998269 01114685 145462 WestchesterWESTMED Medical Group, PC 1699789941 01184638 162548 WestchesterWESTMED Medical Group, PC 1013966027 01220731 180580 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1649221789 01692662 187939 WestchesterWESTMED Medical Group, PC 1437137171 01120543 126531 WestchesterWESTMED Medical Group, PC 1306918263 03128136 252589 WestchesterWESTMED Medical Group, PC 1124105465 00411523 083456 WestchesterWESTMED Medical Group, PC 1184607814 00881883 150267 WestchesterWESTMED Medical Group, PC 1477671907 03027658 000106 WestchesterWESTMED Medical Group, PC 1730396615 02880720 223390 WestchesterWESTMED Medical Group, PC 1619924172 00298839 128325 WestchesterWESTMED Medical Group, PC 1477634806 02466342 223965 WestchesterWESTMED Medical Group, PC 1033204862 02086386 208246 WestchesterWESTMED Medical Group, PC 1649350117 01639409 184331 WestchesterWESTMED Medical Group, PC 1760461768 01695629 199991 WestchesterWESTMED Medical Group, PC 1407835416 02081881 201815 WestchesterWESTMED Medical Group, PC 1427092618 01455792 183120 WestchesterWESTMED Medical Group, PC 1306825328 01621127 192545 WestchesterWESTMED Medical Group, PC 1194704015 01853254 199530 WestchesterWESTMED Medical Group, PC 1497703706 01134867 166841 WestchesterWESTMED Medical Group, PC 1437239621 01977297 213191 WestchesterWESTMED Medical Group, PC 1760465595 01441556 179564 WestchesterWESTMED Medical Group, PC 1134149685 03733511 240811 WestchesterWESTMED Medical Group, PC 1538185723 02233296 331918 WestchesterWESTMED Medical Group, PC 1659475218 03556732 268584 WestchesterWESTMED Medical Group, PC 1134303654 02167137 216398 WestchesterWESTMED Medical Group, PC 1699754515 00635630 136957 WestchesterWESTMED Medical Group, PC 1205815131 00893958 155530 WestchesterWESTMED Medical Group, PC 1518967512 00166252 098039 WestchesterWESTMED Medical Group, PC 1083811707 03174701 236817 WestchesterWESTMED Medical Group, PC 1134205073 02572530 232539 WestchesterWESTMED Medical Group, PC 1043292469 01989624 160084 WestchesterWESTMED Medical Group, PC 1225124605 01199715 136234 WestchesterWESTMED Medical Group, PC 1871571513 01212660 179491 WestchesterWESTMED Medical Group, PC 1710966643 02379028 226832 WestchesterWESTMED Medical Group, PC 1710171715 03625110 254232 WestchesterWESTMED Medical Group, PC 1306075478 03652619 249235 WestchesterWESTMED Medical Group, PC 1477603124 00705582 137353 WestchesterWESTMED Medical Group, PC 1174705065 02945875 232097 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1336128198 01395275 177089 WestchesterWESTMED Medical Group, PC 1225328073 03359253 255767 WestchesterWESTMED Medical Group, PC 1588874861 03133942 237110 WestchesterWESTMED Medical Group, PC 1306835699 01200540 173518 WestchesterWESTMED Medical Group, PC 1134128945 01497218 183988 WestchesterWESTMED Medical Group, PC 1619063096 00568850 116113 WestchesterWESTMED Medical Group, PC 1659350593 01334867 165833 WestchesterWESTMED Medical Group, PC 1376801175 03806448 401457 WestchesterWESTMED Medical Group, PC 1528070505 00937100 146456 WestchesterWESTMED Medical Group, PC 1386706349 02884435 218165 WestchesterWESTMED Medical Group, PC 1396894671 02974129 227576 WestchesterWESTMED Medical Group, PC 1184817801 02907284 245103 WestchesterWESTMED Medical Group, PC 1376577858 02759502 214591 WestchesterWESTMED Medical Group, PC 1659534915 03463141 256129 WestchesterWESTMED Medical Group, PC 1558408245 01928096 205094 WestchesterWESTMED Medical Group, PC 1780736108 01683518 200141 WestchesterWESTMED Medical Group, PC 1861471716 00733239 133324 WestchesterWESTMED Medical Group, PC 1134270002 03587588 334237 WestchesterWESTMED Medical Group, PC 1780718874 03175326 255092 WestchesterWESTMED Medical Group, PC 1225017189 00218786 117711 WestchesterWESTMED Medical Group, PC 1811973456 02414446 203015 WestchesterWESTMED Medical Group, PC 1225006190 00649005 087054 WestchesterWESTMED Medical Group, PC 1285607895 01146363 153235 WestchesterWESTMED Medical Group, PC 1417936204 00646126 137890 WestchesterWESTMED Medical Group, PC 1679625495 02905186 231921 WestchesterWESTMED Medical Group, PC 1447349766 02075212 209510 WestchesterWESTMED Medical Group, PC 1033198833 01944669 199583 WestchesterWESTMED Medical Group, PC 1609014133 03266048 258078 WestchesterWESTMED Medical Group, PC 1184065054 03806113 338509 WestchesterWESTMED Medical Group, PC 1679756159 03420055 263265 WestchesterWESTMED Medical Group, PC 1467454793 02318454 216918 WestchesterWESTMED Medical Group, PC 1487633277 00149986 092779 WestchesterWESTMED Medical Group, PC 1114234838 03317948 336443 WestchesterWESTMED Medical Group, PC 1477611770 03754996 226388 WestchesterWESTMED Medical Group, PC 1740477132 03245618 257455 WestchesterWESTMED Medical Group, PC 1578548459 01099903 154245 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1376515825 02371488 165977 WestchesterWESTMED Medical Group, PC 1841352705 01713717 172191 WestchesterWESTMED Medical Group, PC 1174711428 03328012 304745 WestchesterWESTMED Medical Group, PC 1740209998 03134585 231576 WestchesterWESTMED Medical Group, PC 1053371484 01733568 190764 WestchesterWESTMED Medical Group, PC 1467431973 02361920 218381 WestchesterWESTMED Medical Group, PC 1760625800 03166176 351370 WestchesterWESTMED Medical Group, PC 1720284052 03581091 265413 WestchesterWESTMED Medical Group, PC 1063769966 03506558 337468 WestchesterWESTMED Medical Group, PC 1801875323 02661549 219830 WestchesterWESTMED Medical Group, PC 1679576383 01175319 168223 WestchesterWESTMED Medical Group, PC 1134195548 03516516 219113 WestchesterWESTMED Medical Group, PC 1154470029 02356265 221362 WestchesterWESTMED Medical Group, PC 1831392992 02904401 240424 WestchesterWESTMED Medical Group, PC 1699888172 02088668 137055 WestchesterWESTMED Medical Group, PC 1700866498 01693434 197267 WestchesterWESTMED Medical Group, PC 1104805639 01037470 158946 WestchesterWESTMED Medical Group, PC 1093794547 01217945 178041 WestchesterWESTMED Medical Group, PC 1073574273 02760667 239905 WestchesterWESTMED Medical Group, PC 1912285156 03369257 336648 WestchesterWESTMED Medical Group, PC 1679546386 02458148 226595 WestchesterWESTMED Medical Group, PC 1902870355 01888682 201295 WestchesterWESTMED Medical Group, PC 1952499113 00246566 109672 WestchesterWESTMED Medical Group, PC 1629262142 03482042 260621 WestchesterWESTMED Medical Group, PC 1295711703 00702438 135448 WestchesterWESTMED Medical Group, PC 1750355319 00732678 134807 WestchesterWESTMED Medical Group, PC 1134386881 03253032 240866 WestchesterWESTMED Medical Group, PC 1518939123 02634884 233047 WestchesterWESTMED Medical Group, PC 1184619850 00731833 146002 WestchesterWESTMED Medical Group, PC 1629374863 03421607 336609 WestchesterWESTMED Medical Group, PC 1255322756 02495114 228248 WestchesterWESTMED Medical Group, PC 1356312144 00714874 138918 WestchesterWESTMED Medical Group, PC 1194798041 02172214 221178 WestchesterWESTMED Medical Group, PC 1861531733 02686331 237112 WestchesterWESTMED Medical Group, PC 1992776249 01487443 180445 WestchesterWESTMED Medical Group, PC 1518029818 02297189 380132 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1649238338 02753928 227791 WestchesterWESTMED Medical Group, PC 1841263795 00515288 122420 WestchesterWESTMED Medical Group, PC 1548492804 03144649 336705 WestchesterWESTMED Medical Group, PC 1881667749 02677609 236383 WestchesterWESTMED Medical Group, PC 1164425864 00677981 148742 WestchesterWESTMED Medical Group, PC 1942311071 00568983 108485 WestchesterWESTMED Medical Group, PC 1134125107 00215476 116368 WestchesterWESTMED Medical Group, PC 1972746816 03216075 242616 WestchesterWESTMED Medical Group, PC 1861498537 01577893 175062 WestchesterWESTMED Medical Group, PC 1710951314 00769851 138643 WestchesterWESTMED Medical Group, PC 1023285368 03638204 270408 WestchesterWESTMED Medical Group, PC 1699749291 00248191 129909 WestchesterWESTMED Medical Group, PC 1013937077 01455334 192943 WestchesterWESTMED Medical Group, PC 1275712580 01839472 168673 WestchesterWESTMED Medical Group, PC 1841264447 02337213 208801 WestchesterWESTMED Medical Group, PC 1730138033 00508970 103167 WestchesterWESTMED Medical Group, PC 1154322543 02011030 216018 WestchesterWESTMED Medical Group, PC 1710112115 03116570 239145 WestchesterWESTMED Medical Group, PC 1285608885 01268455 170097 WestchesterWESTMED Medical Group, PC 1104845023 03140567 149916 WestchesterWESTMED Medical Group, PC 1750354551 01268428 171637 WestchesterWESTMED Medical Group, PC 1295765618 02173119 210724 WestchesterWESTMED Medical Group, PC 1083872584 03366305 255421 WestchesterWESTMED Medical Group, PC 1174600407 03202706 220159 WestchesterWESTMED Medical Group, PC 1083674998 02867398 474972 WestchesterWESTMED Medical Group, PC 1447285267 00557406 126719 WestchesterWESTMED Medical Group, PC 1396725578 03733988 221463 WestchesterWESTMED Medical Group, PC 1174512271 01805843 209309 WestchesterWESTMED Medical Group, PC 1659465664 01179446 169027 WestchesterWESTMED Medical Group, PC 1043209232 01888540 198355 WestchesterWESTMED Medical Group, PC 1689648123 02223307 157378 WestchesterWESTMED Medical Group, PC 1649356593 00533913 123813 WestchesterWESTMED Medical Group, PC 1235219957 00526509 079539 WestchesterWESTMED Medical Group, PC 1316027030 01808584 164817 WestchesterWESTMED Medical Group, PC 1104886589 01563620 188554 WestchesterWESTMED Medical Group, PC 1053301770 02718270 211461 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
WESTMED Medical Group, PC 1457325995 01098888 159725 WestchesterWESTMED Medical Group, PC 1528225695 03109753 235558 WestchesterWESTMED Medical Group, PC 1972755445 03526318 266443 WestchesterWESTMED Medical Group, PC 1922071760 01849816 199589 WestchesterWESTMED Medical Group, PC 1619940467 01936098 194120 WestchesterWESTMED Medical Group, PC 1659308369 01334918 147034 WestchesterWESTMED Medical Group, PC 1629164017 01199779 181086 WestchesterWESTMED Medical Group, PC 1972545788 01732645 200719 WestchesterWESTMED Medical Group, PC 1376515338 01291923 167082 WestchesterWESTMED Medical Group, PC 1407962764 02874046 240336 WestchesterWESTMED Medical Group, PC 1316269707 03363760 243684 WestchesterWESTMED Medical Group, PC 1710136437 03470913 265234 WestchesterWESTMED Medical Group, PC 1053384800 00831296 146652 WestchesterWESTMED Medical Group, PC 1225178932 01937195 210138 WestchesterWESTMED Medical Group, PC 1962448506 03038488 241177 WestchesterIndividual No 1235413980 03556796 336716 WestchesterIndividual No 1962606236 03146949 253570 WestchesterIndividual No 1972692275 02311195 225139 WestchesterIndividual No 1336232446 02367673 198587 WestchesterIndividual No 1457494312 01210842 178134 WestchesterIndividual No 1790040913 03734127 271309 WestchesterIndividual No 1609851690 01355962 183668 WestchesterIndividual No 1992995765 01541482 175694 WestchesterIndividual No 1578592143 02951619 241573 WestchesterIndividual No 1710158811 01216848 173241 WestchesterIndividual No 1841284890 01971315 204156 WestchesterIndividual No 1386657633 03106503 250768 WestchesterIndividual No 1659302271 01617596 174351 WestchesterIndividual No 1861656951 03202513 247166 WestchesterIndividual No 1982895793 03051714 244173 WestchesterIndividual No 1902826639 03130238 188268 WestchesterIndividual No 1346465333 03260744 257266 WestchesterIndividual No 1013971498 02701100 234509 WestchesterIndividual No 1063423481 00795491 138425 WestchesterIndividual No 1477891521 03795842 306272 WestchesterIndividual No 1811194962 02900392 232275 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1730253675 01919135 212017 WestchesterIndividual No 1457388977 03038442 248952 WestchesterIndividual No 1831309574 03265827 253514 WestchesterIndividual No 1760789515 03423892 260342 WestchesterIndividual No 1710911540 02573540 334133 WestchesterIndividual No 1033103155 01401541 185812 WestchesterIndividual No 1245266121 03128278 146386 WestchesterIndividual No 1457324923 00336338 107159 WestchesterIndividual Yes 1811076599 01774510 000047 WestchesterIndividual No 1316100159 03046242 256403 WestchesterIndividual No 1669458998 01502881 196360 WestchesterIndividual Yes 1962592378 01040739 169642 WestchesterIndividual No 1285662643 02231170 265926 WestchesterIndividual No 1639178023 01990385 205777 WestchesterIndividual No 1841357092 03363224 230544 WestchesterIndividual No 1487640157 01441652 183313 WestchesterIndividual No 1477696334 01401409 172881 WestchesterIndividual No 1922015635 02279692 333591 WestchesterIndividual No 1649432766 03321666 251171 WestchesterIndividual No 1992711667 01604613 177505 WestchesterIndividual No 1386603488 01008231 159309 WestchesterIndividual No 1104013325 03740741 235887 WestchesterIndividual No 1346232899 01936570 155799 WestchesterIndividual No 1770539660 02000911 203808 WestchesterIndividual No 1023094323 01167064 166557 WestchesterIndividual No 1447246624 01792956 181157 WestchesterIndividual No 1902891393 01749875 197245 WestchesterIndividual No 1043542574 03237749 256000 WestchesterIndividual No 1770556508 02059465 213543 WestchesterIndividual No 1770514457 03804937 F304291 WestchesterIndividual No 1891738738 01352487 164284 WestchesterIndividual No 1013126085 03039223 235270 WestchesterIndividual No 1790705770 02367682 204974 WestchesterIndividual No 1962503888 03038171 241644 WestchesterIndividual No 1992821169 03099965 400381 WestchesterIndividual No 1194951921 03464564 264914 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1255479960 01205834 179473 WestchesterIndividual No 1851497341 03577882 225429 WestchesterIndividual No 1588814784 03132345 335465 WestchesterIndividual No 1053342519 03122185 233007 WestchesterIndividual No 1265598015 02222420 191220 WestchesterIndividual No 1457341158 01502221 194841 WestchesterIndividual No 1740356344 02398158 226245 WestchesterIndividual No 1053648162 03190925 F305192 WestchesterIndividual No 1124188164 01970570 179853 WestchesterIndividual No 1114951720 01369997 174723 WestchesterIndividual No 1083600266 02762843 183713 WestchesterIndividual No 1932345832 03348189 257641 WestchesterIndividual No 1689620577 03029930 239949 WestchesterIndividual No 1710078126 00524589 084624 WestchesterIndividual No 1346253275 02884279 228499 WestchesterIndividual No 1396979555 03375528 262672 WestchesterIndividual No 1487724662 02772847 237979 WestchesterIndividual Yes 1134355373 03516781 265817 WestchesterIndividual No 1376511105 02737951 236994 WestchesterIndividual No 1841297702 01703424 194203 WestchesterIndividual No 1538241187 01132310 175455 WestchesterIndividual No 1699952176 03133731 247305 WestchesterIndividual No 1013246529 03556521 335748 WestchesterIndividual No 1750321626 02762105 221867 WestchesterIndividual No 1043247901 01432099 175682 WestchesterIndividual No 1194742841 03266075 256864 WestchesterIndividual No 1528167772 01727408 F000628 WestchesterIndividual No 1003070681 03054726 249754 WestchesterIndividual No 1497952253 03509877 266391 WestchesterIndividual No 1093753410 03556787 265985 WestchesterIndividual No 1538150230 01686882 201602 WestchesterIndividual No 1730175902 02371828 204986 WestchesterIndividual No 1932112737 03029976 235533 WestchesterIndividual No 1619095510 00506203 086878 WestchesterIndividual No 1912950437 03164876 F331552 WestchesterIndividual No 1427066562 01488788 191639 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1174521678 01200068 170670 WestchesterIndividual No 1396803359 02496380 228991 WestchesterIndividual No 1942409289 03018375 244829 WestchesterIndividual No 1508939612 00954614 160363 WestchesterIndividual No 1285796805 02048740 209922 WestchesterIndividual No 1689672362 03147091 213315 WestchesterIndividual No 1417983669 02884095 236006 WestchesterIndividual No 1952628174 03516718 336079 WestchesterIndividual No 1831196880 01613721 185792 WestchesterIndividual No 1962651505 03367342 260078 WestchesterIndividual No 1114007854 01846111 194646 WestchesterIndividual No 1407940943 03732221 331587 WestchesterIndividual No 1093767675 03146747 232106 WestchesterIndividual No 1376858571 03782327 272704 WestchesterIndividual No 1992961213 03040535 248745 WestchesterIndividual No 1972711190 03146843 244947 WestchesterIndividual No 1427093871 02286226 224940 WestchesterIndividual No 1104902758 01669341 235762 WestchesterIndividual No 1114932746 02473229 197234 WestchesterIndividual No 1558356287 01704136 192235 WestchesterIndividual No 1497849442 01434037 187320 WestchesterIndividual No 1316951866 00760389 136498 WestchesterIndividual No 1912953738 02808253 239846 WestchesterIndividual No 1962436485 00492264 099030 WestchesterIndividual No 1932450624 03734296 271397 WestchesterIndividual No 1649429630 03057398 249087 WestchesterIndividual No 1922180199 01272279 186371 WestchesterIndividual No 1346550621 03556530 565609 WestchesterIndividual No 1528015351 02976772 247745 WestchesterIndividual No 1932437852 03810491 F336006 WestchesterIndividual No 1376820514 03470862 262167 WestchesterIndividual No 1043380603 01357280 176039 WestchesterIndividual No 1073732848 02910736 234686 WestchesterIndividual No 1154370799 02041734 174531 WestchesterIndividual No 1811908999 01156303 170495 WestchesterIndividual No 1194896977 01670406 198354 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Individual No 1083674956 00488197 093833 WestchesterIndividual No 1497721864 02533535 213419 WestchesterIndividual No 1760442628 02181726 221867 WestchesterIndividual No 1053301770 02718270 211461 WestchesterIndividual No 1407053523 03336596 259948 WestchesterIndividual No 1780687236 01832282 201705 WestchesterIndividual No 1275532822 01060631 161772 WestchesterIndividual No 1063609469 03106489 250181 WestchesterIndividual No 1457304438 02367664 189840 WestchesterIndividual No 1114245735 03733704 256040 WestchesterIndividual No 1689688038 00522674 088106 WestchesterOccupations, Inc./OMH ArticY 1255477782 00179774 179774-1OrangeOccupations, Inc./OMH ArticY 1225178569 00143024 143024-1OrangeOccupations, Inc./OMH ArticY 1740326263 00209152 209152-1OrangeOccupations, Inc./OMH ArticY 1295875714 00154287 154287-1OrangeOccupations, Inc./OMH ArticY 1306838172 00143342 143342-DutchessOccupations, Inc./OMH ArticY 1588716559 00222553 222553-1OrangeOccupations, Inc./OMH ArticY 1922029628 0F400591 F400591-OrangeOccupations, Inc./OMH ArticY 1184862302 0F401153 F401153-OrangeOccupations, Inc./OMH ArticY 1659595692 40400660 OrangeOccupations, Inc./OMH ArticY 1124117403 40400989 OrangeOccupations, Inc./OMH ArticY 1972843498 40401557 OrangeOccupations, Inc./OMH ArticY 1740371715 60209783 DutchessGHVHS Medical Group 1134173669 1134173669 OrangeGHVHS Medical Group 1669674222 186221 OrangeGHVHS Medical Group 1811241250 272354 OrangeGHVHS Medical Group 1881977528 260547 OrangeGHVHS Medical Group 1962456871 188935 OrangeGHVHS Medical Group 1962456871 175996 OrangeGHVHS Medical Group 1225464167 F338321 OrangeGHVHS Medical Group 1518979012 274574 OrangeGHVHS Medical Group 1871739276 255423 OrangeGHVHS Medical Group 1124033808 176250 OrangeGHVHS Medical Group 1831297001 170480 OrangeGHVHS Medical Group 1073600722 118442 OrangeGHVHS Medical Group 1164753745 255799 Orange
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
GHVHS Medical Group 1386852341 231050 OrangeGHVHS Medical Group 1679561476 111670 OrangeGHVHS Medical Group 1881766095 OrangeGHVHS Medical Group 1558497602 SullivanGHVHS Medical Group 1033549837 SullivanGHVHS Medical Group 1093802753 SullivanGHVHS Medical Group 1548247596 SullivanGHVHS Medical Group 1194702100 SullivanGHVHS Medical Group 1831118777 SullivanGHVHS Medical Group 1982780243 SullivanGHVHS Medical Group 1952391625 SullivanHealth Quest Medical Practice 1437144359 01924381 213360-1 DutchessHealth Quest Medical Practice 1023203734 pending F338718-1 DutchessHealth Quest Medical Practice 1003248402 03717131 338108-1 DutchessHealth Quest Medical Practice 1104242957 03834388 F001600 DutchessHealth Quest Medical Practice 1467566299 01147502 159629-1 DutchessHealth Quest Medical Practice 1386664001 02334090 F000947-1 DutchessHealth Quest Medical Practice 1215988779 01096579 A169094-1 DutchessHealth Quest Medical Practice 1427154608 02624344 001862-1 DutchessHealth Quest Medical Practice 1518912260 01442713 150247-1 DutchessHealth Quest Medical Practice 1881837201 03530009 267913-1 UlsterHealth Quest Medical Practice 1033103445 02105517 209674-1 DutchessHealth Quest Medical Practice 1558695874 03354143 261619-1 DutchessHealth Quest Medical Practice 1205839495 02915617 207897-1 UlsterHealth Quest Medical Practice 1760586903 02872791 227979-1 DutchessHealth Quest Medical Practice 1417948761 01170254 164704-1 DutchessHealth Quest Medical Practice 1700858958 01491143 195533-1 UlsterHealth Quest Medical Practice 1437322385 03241678 257291-1 DutchessHealth Quest Medical Practice 1275693061 01973500 F000812-1 DutchessHealth Quest Medical Practice 1558369066 00852828 137847-1 DutchessHealth Quest Medical Practice 1376523688 01565526 195587-1 UlsterHealth Quest Medical Practice 1558354274 02164941 220557-1 DutchessHealth Quest Medical Practice 1265534895 pending 001907-2 UlsterHealth Quest Medical Practice 1417152208 03461034 265419-1 DutchessHealth Quest Medical Practice 1467554014 pending 233152-1 UlsterHealth Quest Medical Practice 1023135936 02251265 F331534-1 Dutchess
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Health Quest Medical Practice 1801899877 2147473 205896-1 UlsterHealth Quest Medical Practice 1073768297 03458748 256121-1 PutnamHealth Quest Medical Practice 1093704496 02521433 230467-1 DutchessHealth Quest Medical Practice 1356306617 00891098 162027-1 UlsterHealth Quest Medical Practice 1467463323 03726134 009033-1 DutchessHealth Quest Medical Practice 1063426195 03068444 250943-1 DutchessHealth Quest Medical Practice 1861444671 02465910 229152-1 DutchessHealth Quest Medical Practice 1972575124 02001105 211571-1 DutchessHealth Quest Medical Practice 1033126321 02660355 234486-1 UlsterHealth Quest Medical Practice 1790713972 02798447 F304371-1 UlsterHealth Quest Medical Practice 1215070255 02883407 F430324-1 DutchessHealth Quest Medical Practice 1902876535 01665003 202124-1 DutchessHealth Quest Medical Practice 1972510535 02901086 244183-1 DutchessHealth Quest Medical Practice 1912012345 02672860 236415-1 DutchessHealth Quest Medical Practice 1073615738 01709273 204293-1 UlsterHealth Quest Medical Practice 1073815700 03448973 014548-1 DutchessHealth Quest Medical Practice 1023061579 01955724 214287-1 DutchessHealth Quest Medical Practice 1750477402 01921282 210556-1 DutchessHealth Quest Medical Practice 1164672127 03561222 F304874-1 DutchessHealth Quest Medical Practice 1205935087 01574423 189663-1 UlsterHealth Quest Medical Practice 1609834514 02963422 193280-1 DutchessHealth Quest Medical Practice 1225092489 02044613 33277-1 UlsterHealth Quest Medical Practice 1740332410 2935220 242799-1 DutchessHealth Quest Medical Practice 1255314332 01771035 206911-1 DutchessHealth Quest Medical Practice 1730265810 03229807 F420093-1 DutchessHealth Quest Medical Practice 1831355999 02548763 231393-1 UlsterHealth Quest Medical Practice 1386739746 00526614 096600-1 DutchessHealth Quest Medical Practice 1164489563 02224486 213855-1 DutchessHealth Quest Medical Practice 1245471986 03336523 238729-1 DutchessHealth Quest Medical Practice 1831308675 03261332 257661-1 DutchessHealth Quest Medical Practice 1528243813 03209056 255923-1 DutchessHealth Quest Medical Practice 1750320248 01668368 F331432-1 DutchessHealth Quest Medical Practice 1619932399 02872939 F303543-1 DutchessHealth Quest Medical Practice 1205938313 02642304 002150-1 UlsterHealth Quest Medical Practice 1376645911 00728056 142652-1 UlsterHealth Quest Medical Practice 1174626410 03298973 182428-1 Putnam
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Health Quest Medical Practice 1083696322 02362852 F000713-1 DutchessHealth Quest Medical Practice 1891899126 01147566 161168-1 DutchessHealth Quest Medical Practice 1922048222 00710352 A142851-1 DutchessHealth Quest Medical Practice 1003851379 02755791 220150-1 DutchessHealth Quest Medical Practice 1245666783 pending 016937-1 DutchessHealth Quest Medical Practice 1659392215 01896253 206273-1 UlsterHealth Quest Medical Practice 1508805136 01513859 187298-1 DutchessHealth Quest Medical Practice 1528088838 01544283 150783-1 UlsterHealth Quest Medical Practice 1023272762 03340787 F304929-1 UlsterHealth Quest Medical Practice 1073608691 00531517 131213-1 DutchessHealth Quest Medical Practice 1619298981 03766896 256391-1 DutchessHealth Quest Medical Practice 1902877822 02801449 241735-1 DutchessHealth Quest Medical Practice 1265527220 02167664 187441-1 DutchessHealth Quest Medical Practice 1407875974 F330340-1 DutchessHealth Quest Medical Practice 1942429634 03282262 232014-1 PutnamHealth Quest Medical Practice 1841303906 01390207 141836-1 DutchessHealth Quest Medical Practice 1538324991 03028186 F304882-1 DutchessHealth Quest Medical Practice 1548206998 00695661 133354-1 UlsterHealth Quest Medical Practice 1124067988 01160498 142963-1 DutchessHealth Quest Medical Practice 1437293479 01982705 210083-1 DutchessHealth Quest Medical Practice 1689705659 '02107702 218794-1 PutnamHealth Quest Medical Practice 1568408623 02119753 195399-1 DutchessHealth Quest Medical Practice 1235320474 03227869 256848-1 DutchessHealth Quest Medical Practice 1154416113 01176223 114501-1 DutchessHudson River Health Care Y 1396761813 00473038 380140 WestchesterHudson River Health Care Y 1134338122 00473038 242868 WestchesterHudson River Health Care Y 1376709253 00473038 WestchesterHudson River Health Care Y 1164440772 00473038 145673 WestchesterHudson River Health Care Y 1114183092 00473038 WestchesterHudson River Health Care Y 1063403863 00473038 236990 WestchesterHudson River Health Care Y 1053335745 00473038 052526 WestchesterHudson River Health Care Y 1013924414 00473038 034244 WestchesterHudson River Health Care Y 1275644536 00473038 330054 WestchesterHudson River Health Care Y 1659301299 00473038 000819 WestchesterHudson River Health Care Y 1043323074 00473038 251461 WestchesterHudson River Health Care Y 1336241447 00473038 380565 Westchester
02479541
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Hudson River Health Care Y 1073610028 00473038 021792 WestchesterHudson River Health Care Y 1922089051 00473038 185879 WestchesterHudson River Health Care Y 1245312313 00473038 000065 WestchesterHudson River Health Care Y 1053410654 00473038 222313 WestchesterHudson River Health Care Y 1275510760 00473038 262214 WestchesterHudson River Health Care Y 1184668162 00473038 052221 WestchesterHudson River Health Care Y 1508851759 00473038 234817 WestchesterHudson River Health Care Y 1275612574 00473038 001214 WestchesterHudson River Health Care Y 1912985227 00473038 113179 WestchesterHudson River Health Care Y 1659348217 00473038 177654 WestchesterHudson River Health Care Y 1396759122 00473038 239616 WestchesterHudson River Health Care Y 1497060438 00473038 050423 WestchesterHudson River Health Care Y 1619995941 00473038 166496 WestchesterHudson River Health Care Y 1083776975 00473038 198573 WestchesterHudson River Health Care Y 1497765283 00473038 432965 WestchesterHudson River Health Care Y 1174557375 00473038 001163 WestchesterHudson River Health Care Y 1699785139 00473038 307475 WestchesterHudson River Health Care Y 1184697963 00473038 000011 WestchesterHudson River Health Care Y 1841234895 00473038 247544 WestchesterHudson River Health Care Y 1730258625 00473038 208516 WestchesterHudson River Health Care Y 1093754806 00473038 235184 WestchesterHudson River Health Care Y 1558541557 00473038 053542 WestchesterHudson River Health Care Y 1063447746 00473038 154973 WestchesterHudson River Health Care Y 1841225554 00473038 237999 WestchesterHudson River Health Care Y 1588698419 00473038 044376 WestchesterHudson River Health Care Y 1447242052 00473038 WestchesterHudson River Health Care Y 1861449209 00473038 333578 WestchesterHudson River Health Care Y 1881824605 00473038 268339 WestchesterHudson River Health Care Y 1679559595 00473038 238309 WestchesterHudson River Health Care Y 1376641084 00473038 WestchesterHudson River Health Care Y 1932231859 00473038 000426 WestchesterHudson River Health Care Y 1750583290 00473038 043819 WestchesterHudson River Health Care Y 1487629192 00473038 302948 WestchesterHudson River Health Care Y 1861414831 00473038 220741 WestchesterHudson River Health Care Y 1568628444 00473038 WestchesterHudson River Health Care Y 1255392379 00473038 207746 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Hudson River Health Care Y 1649298043 00473038 178684 WestchesterHudson River Health Care Y 1437173143 00473038 038482 WestchesterHudson River Health Care Y 1477587608 00473038 233637 WestchesterHudson River Health Care Y 1083650329 00473038 167955 WestchesterHudson River Health Care Y 1013943547 00473038 248420 WestchesterHudson River Health Care Y 1972605756 00473038 330017 WestchesterHudson River Health Care Y 1164653010 00473038 265717 WestchesterHudson River Health Care Y 1548271836 00473038 051808 WestchesterHudson River Health Care Y 1942419874 00473038 141098 WestchesterHudson River Health Care Y 1578521423 00473038 248123 WestchesterHudson River Health Care Y 1063683779 00473038 260327 WestchesterHudson River Health Care Y 1992758239 00473038 164679 WestchesterHudson River Health Care Y 1508874884 00473038 049293 WestchesterHudson River Health Care Y 1548202021 00473038 171478 WestchesterHudson River Health Care Y 1962505214 00473038 332067 WestchesterHudson River Health Care Y 1093756710 00473038 233086 WestchesterHudson River Health Care Y 1881635647 00473038 002963 WestchesterHudson River Health Care Y 1255473666 00473038 332918 WestchesterHudson River Health Care Y 1427199942 00473038 240790 WestchesterHudson River Health Care Y 1801987425 00473038 000740 WestchesterHudson River Health Care Y 1033319066 00473038 052146 WestchesterHudson River Health Care Y 1013110550 00473038 265494 WestchesterHudson River Health Care Y 1104867761 00473038 000295 WestchesterHudson River Health Care Y 1417107103 00473038 332230 WestchesterHudson River Health Care Y 1376844282 00473038 044120 WestchesterHudson River Health Care Y 1992952782 00473038 055338 WestchesterHudson River Health Care Y 1275620916 00473038 199147 WestchesterHudson River Health Care Y 1063413805 00473038 228018 WestchesterHudson River Health Care Y 1558699405 00473038 272728 WestchesterHudson River Health Care Y 1083702278 00473038 209259 WestchesterHudson River Health Care Y 1386619179 00473038 163487 WestchesterHudson River Health Care Y 1811090186 00473038 330256 WestchesterHudson River Health Care Y 1245321769 00473038 164036 WestchesterHudson River Health Care Y 1225064249 00473038 220732 WestchesterHudson River Health Care Y 1518151950 00473038 264950 WestchesterHudson River Health Care Y 1154558336 00473038 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Hudson River Health Care Y 1861574311 00473038 332895 WestchesterHudson River Health Care Y 1376854810 00473038 WestchesterHudson River Health Care Y 1568455756 00473038 001424 WestchesterHudson River Health Care Y 1639264823 00473038 045263 WestchesterHudson River Health Care Y 1578710463 00473038 249642 WestchesterHudson River Health Care Y 1457379331 00473038 238292 WestchesterHudson River Health Care Y 00473038 WestchesterHudson River Health Care Y 1588745905 00473038 233631 WestchesterHudson River Health Care Y 1144356668 00473038 169981 WestchesterHudson River Health Care Y 1285876961 00473038 252418 WestchesterHudson River Health Care Y 00473038 WestchesterHudson River Health Care Y 1487679932 00473038 153040 WestchesterHudson River Health Care Y 1467615732 00473038 244302 WestchesterHudson River Health Care Y 1740216829 00473038 331220 WestchesterHudson River Health Care Y 1265523781 00473038 154156 WestchesterHudson River Health Care Y 1780695049 00473038 039672 WestchesterHudson River Health Care Y 1982616991 00473038 133006 WestchesterHudson River Health Care Y 1679598114 00473038 161671 WestchesterHudson River Health Care Y 1730181140 00473038 219331 WestchesterHudson River Health Care Y 1023054319 00473038 331923 WestchesterHudson River Health Care Y 1033108550 00473038 332368 WestchesterHudson River Health Care Y 1124030069 00473038 181394 WestchesterHudson River Health Care Y 1336314400 00473038 054444 WestchesterHudson River Health Care Y 1992742100 00473038 201846 WestchesterHudson River Health Care Y 1184836868 00473038 252528 WestchesterHudson River Health Care Y 1154391779 00473038 335405 WestchesterHudson River Health Care Y 1063504934 00473038 333457 WestchesterHudson River Health Care Y 1982898805 00473038 245673 WestchesterHudson River Health Care Y 1013929769 00473038 180857 WestchesterHudson River Health Care Y 1437162195 00473038 224939 WestchesterHudson River Health Care Y 1609812866 00473038 224333 WestchesterHudson River Health Care Y 1174549828 00473038 189032 WestchesterHudson River Health Care Y 1255344933 00473038 236194 WestchesterHudson River Health Care Y 1205051067 00473038 001108 WestchesterHudson River Health Care Y 1447415302 00473038 253148 WestchesterHudson River Health Care Y 1427140201 00473038 330838 Westchester
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
Hudson River Health Care Y 1649288978 00473038 050306 WestchesterHudson River Health Care Y 1447276191 00473038 225416 WestchesterHudson River Health Care Y 1952561169 00473038 261862 WestchesterThe Children's Village Y 1154496057 194142 BronxThe Children's Village Y 1144394776 222099 WestchesterThe Children's Village Y 1427254697 3781642 WestchesterThe Children's Village Y 1821157058 128862 WestchesterThe Children's Village Y 1588638084 99550 WestchesterThe Children's Village Y 1508823642 216609 WestchesterThe Children's Village Y 1417097262 238022 WestchesterThe Children's Village Y 1417977240 226290 WestchesterThe Children's Village Y 1033409073 260783 WestchesterThe Children's Village Y 1750540308 254398 Bronx
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
3 4 5 6 7 8
NPI MMIS License # CountyIndividual OR Group Name
SN Qualified (Y/N)
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
19 Bradhurst Avenue, Suite 2500NHawthorne NY 10532 Benjamin Wade (718) 696-30511075 Central Avenue, Suite 414 Scarsdale NY 10583 Benjamin Wade (718) 696-3051515 Halstead Avenue Harrison NY 10528 Benjamin Wade (718) 696-3051103 South Bedford Road, Ste. 102 Mt. Kisco NY 10549 Benjamin Wade (718) 696-305133 Cedar Street Rye NY 10580 Benjamin Wade (718) 696-3051777 White Plains Road Scarsdale NY 10583 Benjamin Wade (718) 696-3051110 Lockwood Avenue, Suite 200 New Rochelle NY 10801 Benjamin Wade (718) 696-3051875 Mamaroneck Avenue, Ste 203Mamaroneck NY 10543 Benjamin Wade (718) 696-3051200 Veterans Road Yorktown HeightNY 10598 Benjamin Wade (718) 696-305115 Taylor Street Kingston NY 12401 Benjamin Wade (718) 696-305190 South Ridge St., # LL-12 Rye Brook NY 10573 Benjamin Wade (718) 696-3051421 Huguenot, Suite 11 New Rochelle NY 10801 Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591 Benjamin Wade (718) 696-305185 New Main Street Haverstraw NY 10927 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051967 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Cantral Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051967 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305190 South Ridge Street, Suite LL3 Rye Brook NY 10573 Benjamin Wade (718) 696-305190 South Ridge Street, Suite LL3 Rye Brook NY 10573 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051688 White Plains Road, St. 222 Scarsdale NY 10583 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051244 Westchester Ave., #310 White Plains NY 10604 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051688 White Plains Road, Suite 219 Scarsdale NY 10583 Benjamin Wade (718) 696-3051514 Gramatan Avenue, Suite P3 Mount Vernon NY 10552 Benjamin Wade (718) 696-3051495 Central Park Avenue, Suite 20Scarsdale NY 10583 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051140 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-3051100 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051212 Crystal Run Road, Suite 1 Middletown NY 10941 Benjamin Wade (718) 696-305119 Bradhurst Avenue, Suite 38505Hawthorne NY 10532 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051150 White Plains Road, Suite 200 Tarrytown NY 10591-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305177 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-305137 Davis Avenue White Plains NY 10605 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051955 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-305119 Bradhurst Avenue Hawthorne NY 10532 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305188 Ashford Avenue Dobbs Ferry NY 10522 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-3051625 Gramatan Avenue Mount Vernon NY 10552 Benjamin Wade (718) 696-3051105 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051Suite 406 White Plains NY 10605 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305126 Burling Lane, 2nd Floor New Rochelle NY 10801 Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051685 White Plains Road Eastchester NY 10709 Benjamin Wade (718) 696-3051755 N. Broadway Sleepy Hollow NY 10591 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051970 North Broadway, 308B Yonkers NY 10701 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
970 North Broadway, Suite 201 Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2ndYonkers NY 10710 Benjamin Wade (718) 696-305116 North Broadway, Suite LMG White Plains NY 10601 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051984 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-3051421 Huguenot Street, Suite 53 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305110 Ronald Reagan Boulevard Warwick NY 10990 Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-305112 Greenridge Ave., Ste. 304 White Plains NY 10605 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30513 ODell Plaza Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051222 Route 59, Suite 207 Suffern NY 10901 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30513 St. Stephen Lane, Suite 3 Warwick NY 10990 Benjamin Wade (718) 696-305150 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305110 Commerce Drive New Rochelle NY 10801 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051445 Gramatan Avenue, Bldg. B Mount Vernon NY 10552 Benjamin Wade (718) 696-3051329 White Plains Road Eastchester NY 10709 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 406 Mount Vernon NY 10550 Benjamin Wade (718) 696-305133 Davis Avenue White Plains NY 10605 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051970 North Broadway, Suite 201 Yonkers NY 10701 Benjamin Wade (718) 696-30511234 Central Park Avenue Yonkers NY 10704 Benjamin Wade (718) 696-3051915 Palmer Road Bronxville NY 10708 Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051337 Kimball Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051875 Mamaroneck Avenue Mamaroneck NY 10543 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051400 East Main Street Mt. Kisco NY 10549 Benjamin Wade (718) 696-3051400 East Main Street Mt. Kisco NY 10549 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051600 Mamaroneck Avenue, Suite 1 Harrison NY 10528 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051105 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
77 Quaker Ridge Road, Suite 203 New Rochelle NY 10804 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051421 Huguenot Street, Ste. 44 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051153 Stevens Avenue, Suite 4 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2nd Yonkers NY 10710 Benjamin Wade (718) 696-30512 Park Avenue Yonkers NY 10703-34Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511075 Central Park Avenue, Suite 4Scarsdale NY 10583 Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511915-25 Central Park Avenue Yonkers NY 10710-29Benjamin Wade (718) 696-30512365 Boston Post Road, Suite #10 Larchmont NY 10538 Benjamin Wade (718) 696-305161 Bronx River Road Yonkers NY 10704 Benjamin Wade (718) 696-305190 South Ridge, Suite UL-1 Rye Brook NY 10573 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051445 Hamilton Avenue, Suite 1102 White Plains NY 10601 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051970 North Broadway, Ste. 308A Yonkers NY 10703 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051150 Purchase Street, #6 Rye NY 10580 Benjamin Wade (718) 696-3051175 Memorial Highway, Suite # 1- New Rochelle NY 10801 Benjamin Wade (718) 696-3051955 Yonkers Avenue, Suite 105 Yonkers NY 10704 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051140 Lockwood Avenue, Ste. 301 New Rochelle NY 10801 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051984 North Broadway # 500A Yonkers NY 10701 Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051280 North Central Avenue, Suite 2Hartsdale NY 10530 Benjamin Wade (718) 696-305190 S. Bedford Road Mt. Kisco NY 10549 Benjamin Wade (718) 696-30511600 Harrison Avenue Mamaroneck NY 10543 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051471 Central Avenue Yonkers NY 10710 Benjamin Wade (718) 696-305119 Bradhurst Avenue 1900 Hawthorne NY 10532 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305115 North Broadway, Ste. G White Plains NY 10601 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051158 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051400 Webster Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Union Street New Rochelle NY 10802 Benjamin Wade (718) 696-305114 Lawton Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051481 Main Street, Suite 204 New Rochelle NY 10801 Benjamin Wade (718) 696-30512422 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051175 Memorial Highway, LL14 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051984 North Broadway, Suite 400 Yonkers NY 10701 Benjamin Wade (718) 696-3051Purchase Street Rye NY 10580 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051944 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051944 North Broadway Ste 108 Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511963 Palmer Avenue Larchmont NY 10538 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30519A Central Park Avenue Yonkers NY 10705 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305111 Dellwood Lane Ardsley NY 10502 Benjamin Wade (718) 696-3051110 Lockwood Avenue, Suite 202 New Rochelle NY 10801 Benjamin Wade (718) 696-3051136 Sagamore Road Tuckahoe NY 10707 Benjamin Wade (718) 696-3051280 N. Central Ave., #114 Hartsdale NY 10530-18Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051970 N. Broadway Yonkers NY 10701 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305173 Market Street Yonkers NY 10710 Benjamin Wade (718) 696-305152 Main Street Bedford Hills NY 10507 Benjamin Wade (718) 696-305173 Market Street, Suite 210 Yonkers NY 10710 Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-3051984 North Broadway, Suite 311 Yonkers NY 10701-13Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051600 Mamaroneck Avenue, Suite 1 Harrison NY 10528 Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051688 White Plains Rd. Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-3051480 Bedford Road Chappaqua NY 10514 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
175 Memorial Highway New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051140 Lockwood Avenue, Suite 220 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511990 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051320 Manville Road Pleasantville NY 10570 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051171 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051970 North Broadway, Ste. 204 Yonkers NY 10701 Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 404 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051335 Old Tarrytown Road White Plains NY 10603 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-305125 Coligni Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051145 Huguenot Street, #200 New Rochelle NY 10801 Benjamin Wade (718) 696-3051155 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
2345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-3051170 Maple Avenue White Plains NY 10601 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30512150 Central Park Avenue, Suite 2Yonkers NY 10710 Benjamin Wade (718) 696-3051150 White Plains Road, Suite 200 Tarrytown NY 10591-55Benjamin Wade (718) 696-3051955 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051333 West Post Road White Plains NY 10606 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305173 Market Street, Suite 215 Yonkers NY 10710-76Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051670 Stoneleigh Avenue, Suite 205 Carmel NY 10512 Benjamin Wade (718) 696-30511990 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051600 Mamaroneck Avenue, Ste.103Harrison NY 10528 Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-3051170 Maple Avenue Ste 104 White Plains NY 10606 Benjamin Wade (718) 696-3051280 West Central Avenue Hartsdale NY 10530 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Elm Street Tuckahoe NY 10707 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051100 Stevens Avenue, 7th Floor Mount Vernon NY 10550 Benjamin Wade (718) 696-3051280 North Broadway Newburgh NY 12550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305120 Old Mamaroneck Road White Plains NY 10605 Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2nd Yonkers NY 10710 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051150 5th Avenue Pelham NY 10803 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-3051175 Memorial Highway, Ste 1-1 New Rochelle NY 10801 Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051150 Lockwood Avenue, Rm. 32 New Rochelle NY 10801 Benjamin Wade (718) 696-30511000 High Street Rye Brook NY 10573 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051262 Purchase Street Rye NY 10580 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051311 North Midland Avenue Nyack NY 10960 Benjamin Wade (718) 696-30511940 Commerce Street Yorktown HeightNY 10598 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-3051197 A Cedar Lane Ossining NY 10562 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
750 Mclean Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051750 Mclean Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305139 Hunter Drive Eastchester NY 10709 Benjamin Wade (718) 696-3051150 Lockwood Avenue, Suite 30 New Rochelle NY 10801 Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Elm Street Tuckahoe NY 10707 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051410 North Broadway White Plains NY 10603 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 306 Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051155 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-3051One Pondfield Rd. West Ste.1R Bronxville NY 10708 Benjamin Wade (718) 696-3051167 Purchase Street Rye NY 10580 Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305160 Prospect Street Middletown NY 10940-54Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30513020 Westchester Avenue, Suite Purchase NY 10577-25Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
880 Mile Square Road Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051147 Park Avenue Yonkers NY 10703 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051127 South Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051101 Park Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051455 Central Park Avenue, Suite 31Scarsdale NY 10583 Benjamin Wade (718) 696-3051140 Lockwood Avenue, Suite 201 New Rochelle NY 10801 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051175 Memorial Highway New Rochelle NY 10801 Benjamin Wade (718) 696-3051175 Memorial Highway Suite 1-7 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511415 Boston Post Rd Larchmont NY 10538 Benjamin Wade (718) 696-3051140 Lockwood Avenue, Suite 103 New Rochelle NY 10801 Benjamin Wade (718) 696-305169 S. Broadway Yonkers NY 10701 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051138 S. Columbus Avenue, Fl. 1 Mount Vernon NY 10553 Benjamin Wade (718) 696-3051803 McLean Avenue Yonkers NY 10704 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30511890 Palmer Avenue Larchmont NY 10538 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511055 Saw Mill River Road Ardsley NY 10502 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
12 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051777 North Broadway, Suite 309 Sleepy Hollow NY 10591 Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512365 Boston Post Road Larchmont NY 10538 Benjamin Wade (718) 696-305119 Bradhurst Avenue, Suite 200 Hawthorne NY 10532 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051141 South Central Avenue, Suite 2Hartsdale NY 10530 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530 Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-30511 Bushwick Rd. Ste D Poughkeepsie NY 12603 Benjamin Wade (718) 696-3051105 Stevens Ave #408 Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-30515 West Main Street #206 Elmsford NY 10523 Benjamin Wade (718) 696-3051559 Gramatan Avenue, Suite 202 Mount Vernon NY 10552 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30513020 Westchester Avenue, Suite Purchase NY 10577 Benjamin Wade (718) 696-3051466 Main Street New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051105 Stevens Avenue, Ste. 109 Mount Vernon NY 10550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305129 Glover Sohroon Place New Rochelle NY 10802 Benjamin Wade (718) 696-3051984 North Broadway, #401A Yonkers NY 10701 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305117 Pheasant Run Scarsdale NY 10583 Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051688 White Plains Road, Suite 210 Scarsdale NY 10583 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-305126 Burling Lane New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511234 Central Pk Avenue, Ste.3A Yonkers NY 10704 Benjamin Wade (718) 696-3051171 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051559 Gramatan Avenue, Suite 210 Mount Vernon NY 10552 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051830 Pelhamdale Avenue New Rochelle NY 10801-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511296 North Avenue, 2nd Floor New Rochelle NY 10804 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
21 Bloomingdale Road White Plains NY 10605 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051262 East Prospect Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512422 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305173 Market Street Yonkers NY 10710 Benjamin Wade (718) 696-3051150 Lockwood Avenue, Suite 20 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-3051469 N. Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051One Pondfield Road Ste 201 Bronxville NY 10708 Benjamin Wade (718) 696-3051140 Lockwood Ave New Rochelle NY 10801 Benjamin Wade (718) 696-3051222 Westchester Ave Ste. G1 White Plains NY 10604 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511075 Central Park Ave, Ste. 409, AScarsdale NY 10583 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1 Theall Road Rye NY 10580 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051984 North Broadway, Suite 312 Yonkers NY 10701 Benjamin Wade (718) 696-3051270 White Plains Road Eastchester NY 10709 Benjamin Wade (718) 696-305130 South Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051140 Lockwood Avenue, Suite 203 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051110 Lockwood Avenue, Suite 300 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305130 Greenridge Avenue White Plains NY 10605 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051984 North Broadway, Suite 312 Yonkers NY 10701 Benjamin Wade (718) 696-3051838 Pelhamdale Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30512365 Boston Post Road Katonah NY 10536 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051978 Northside Plaza, Rte. 45 Pomona NY 10970 Benjamin Wade (718) 696-30512039 Palmer Avenue, Suite 203 Larchmont NY 10538 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30512 Overhill Road, Suite 260 Scarsdale NY 10583 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051970 North Broadway, Ste. 204 Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305120 Old Mamaroneck Road White Plains NY 10605 Benjamin Wade (718) 696-3051170 Maple Avenue, Ste 104 White Plains NY 10601 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
325 Manville Road Pleasantville NY 10570 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051955 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-305190 South Bedford Road Mount Kisco NY 10549 Benjamin Wade (718) 696-3051150 White Plains Road, Suite 200 Tarrytown NY 10591-55Benjamin Wade (718) 696-305118 Ashford Avenue, Suite 2M Dobbs Ferry NY 10522 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051222 Westchester Ave., Ste. 205 White Plains NY 10604 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051171 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051150 Lockwood Avenue, Ste. 34 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051110 Lockwood Avenue New Rochelle NY 10801-50Benjamin Wade (718) 696-3051Macy Pavillion Valhalla NY 10595 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305120 Squadron Boulevard New City NY 10956 Benjamin Wade (718) 696-3051105 Stevens Avenue 609 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051944 North Broadway, Suite 102 Yonkers NY 10701 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512365 Boston Post Road Scarsdale NY 10583 Benjamin Wade (718) 696-3051145 Huguenot Street, suite 200 New Rochelle NY 10801 Benjamin Wade (718) 696-3051915 Palmer Road Bronxville NY 10708 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-30511 Greenridge Avenue White Plains NY 10605 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051198 Trenor Drive New Rochelle NY 10804 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-30511075 Central Park Avenue, Suite 4Scarsdale NY 10583 Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801-49Benjamin Wade (718) 696-305119 Bradhurst Ave., # 1900 Hawthorne NY 10532 Benjamin Wade (718) 696-30511880 Commerce Street Yorktown HeightNY 10598 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305119 Bradhurst Avenue, Suite 38505Hawthorne NY 10532 Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051115 Main Street, Suite 301 Tuckahoe NY 10707 Benjamin Wade (718) 696-3051175 Memorial Highway New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051140 Lockwood Ave., Ste. 310 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051367 Old Army Road Scarsdale NY 10583 Benjamin Wade (718) 696-3051688 White Plains, Ste. 222 Scarsdale NY 10583 Benjamin Wade (718) 696-3051145 Huguenot Street, Suite 200 New Rochelle NY 10801 Benjamin Wade (718) 696-3051984 North Broadway, Suite 311 Yonkers NY 10701-13Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305160 Prospect Street Middletown NY 10940-54Benjamin Wade (718) 696-3051701 North Broadway Sleepy Hollow NY 10591-10Benjamin Wade (718) 696-305173 Market Street, Suite 215 Yonkers NY 10710-76Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583 Benjamin Wade (718) 696-3051175 Memoria Highway, Ste 1-1 New Rochelle NY 10801 Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051200 South Broadway Tarrytown NY 10591-45Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051202 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-3051202 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-3051104 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-30511990 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-3051150 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051116 5th Avenue Pelham Manor NY 10803 Benjamin Wade (718) 696-3051984 North Broadway, #402 Yonkers NY 10701 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30513010 Westchester Avenue Purchase NY 10577 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2nd Yonkers NY 10710 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
127 Woodside Avenue Briarcliff Manor NY 10510 Benjamin Wade (718) 696-3051120 Warren Street New Rochelle NY 10801 Benjamin Wade (718) 696-305157 Washington Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051955 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801 Benjamin Wade (718) 696-3051110 Lockwood Ave, Suite 402 New Rochelle NY 10801 Benjamin Wade (718) 696-3051829 Bronx River Road Bronxville NY 10708 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051685 White Plains Road Eastchester NY 10709 Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 508 Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051101 Waterside Professional Park Putnam Valley NY 10579 Benjamin Wade (718) 696-305125 Sickles Place New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051175 Memorial Highway, Ste 2-1 New Rochelle NY 10801 Benjamin Wade (718) 696-3051128 Ashford Avenue Dobbs Ferry NY 10522-19Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305119 Bradhurst Avenue, Suite 2450 Hawthorne NY 10532 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305177 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-305126 Washington Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Odell Plaza Yonkers NY 10701 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051140 Lockwood Ave Suite 204 New Rochelle NY 10801 Benjamin Wade (718) 696-3051116 Fifth Avenue Pelham Manor NY 10803 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30512001 Palmer Drive Larchmont NY 10538 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051955 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305115 Chestnut Street Spring Valley NY 10977 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511 Pondfield Road West Bronxville NY 10708 Benjamin Wade (718) 696-305118 Ashford Avenue Dobbs Ferry NY 10522-18Benjamin Wade (718) 696-305161 Maple Avenue White Plains NY 10601 Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051688 White Plains Road, Suite 224 Scarsdale NY 10583 Benjamin Wade (718) 696-3051311 North Street, #406 White Plains NY 10605 Benjamin Wade (718) 696-3051984 N. Broadway - Ste. 309 Yonkers NY 10701 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051153 Stevens Avenue, Ste. 2 Mount Vernon NY 10550 Benjamin Wade (718) 696-30511075 Central Park Avenue, Suite 4Scarsdale NY 10583 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305177 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-3051266 White Plains Road, Ste 1-A Eastchester NY 10709 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051100 Stevens Ave 7th Floor Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-305111 Park Avenue, Suite 1K Mount Vernon NY 10550 Benjamin Wade (718) 696-3051984 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305111 Park Avenue, Suite 1K Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-3051311 North Street, Suite 407 White Plains NY 10605 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051455 Central Park Avenue, Suite 21Scarsdale NY 10583 Benjamin Wade (718) 696-3051140-A Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305150 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051621 North Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051317 North Street White Plains NY 10605 Benjamin Wade (718) 696-3051175 Memorial Highway, LL 14 New Rochelle NY 10801 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305175 Linda Avenue White Plains NY 10605 Benjamin Wade (718) 696-3051175 Memorial Highway New Rochelle NY 10801 Benjamin Wade (718) 696-3051500 Mamaroneck Avenue Harrison NY 10528 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305149 Forest Road Monroe NY 10950 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051311 North Street, Suite 202 White Plains NY 10605 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051202 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 603 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051140 Lockwood Avenue, Room 109New Rochelle NY 10801 Benjamin Wade (718) 696-30511 Pondfield Road W STE 1 Bronxville NY 10708 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
12 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051514 Gramatan Avenue, Suite P-3 Mount Vernon NY 10552 Benjamin Wade (718) 696-30512422 Central Avenue Yonkers NY 10710 Benjamin Wade (718) 696-305177 Pondfield Road Bronxville NY 10708 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051160 N. Midland Avenue Nyack NY 10960 Benjamin Wade (718) 696-3051970 North Broadway, 308B Yonkers NY 10701 Benjamin Wade (718) 696-3051153 Stevens Avenue, Suite #5 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051244 Westchester Ave., 4th Flr White Plains NY 10604 Benjamin Wade (718) 696-3051213 East Prospect Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2nd Yonkers NY 10710 Benjamin Wade (718) 696-3051110 Lockwood Avenue New Rochelle NY 10801-50Benjamin Wade (718) 696-3051944 North Broadway, Suite 208 Yonkers NY 10701 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-3051984 North Broadway, Suite 314 Yonkers NY 10701 Benjamin Wade (718) 696-3051514 Gramatan Avenue Mount Vernon NY 10552 Benjamin Wade (718) 696-3051514 Gramatan Ave Mount Vernon NY 10552 Benjamin Wade (718) 696-3051944 North Broadway Ste 103 Yonkers NY 10701 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30512000 Frost Valley Road Claryville NY 12725-52Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511 Madison Avenue, 2nd Floor Larchmont NY 10538 Benjamin Wade (718) 696-30511 Anton Court New City NY 10956 Benjamin Wade (718) 696-305150 Morsmere Place Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051171 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-30511915-25 Central Park Avenue, 2ndYonkers NY 10710 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051175 Memorial Highway New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051972 Broadway Thornwood NY 10594 Benjamin Wade (718) 696-3051984 North Broadway, Suite 311 Yonkers NY 10701-13Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051970 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051110 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051One Pondfield Rd. West Ste.1R Bronxville NY 10708 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051One Pondfield Road, Suite 302 Bronxville NY 10708 Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-3051175 Memorial Highway, LL 14 New Rochelle NY 10801 Benjamin Wade (718) 696-3051401 Columbus Avenue Valhalla NY 10595 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051255 5th Avenue Nyack NY 10960 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511730 Central Park Avenue, Suite 3Yonkers NY 10710 Benjamin Wade (718) 696-3051150 Lockwood Avenue, Suite 34 New Rochelle NY 10801 Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051107 West 4th street Mount Vernon NY 10550 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051875 Yonkers Avenue Yonkers NY 10704 Benjamin Wade (718) 696-3051293 Route 100, Suite 207A Somers NY 10589-32Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305188 Ashford Avenue Dobbs Ferry NY 10522 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
219 Blooming Grove Turnpike New Windsor NY 12553 Benjamin Wade (718) 696-3051202 Stevens Avenue Mount Vernon NY 10550 Benjamin Wade (718) 696-30512871 Boston Post Road Larchmont NY 10538 Benjamin Wade (718) 696-3051140 Lockwood Avenue New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583 Benjamin Wade (718) 696-3051984 North Broadway Suite 309 Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305115 Hopke Avenue Hastings on Hud NY 10706 Benjamin Wade (718) 696-30511990 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-305195 Bradhurst Avenue Valhalla NY 10595-16Benjamin Wade (718) 696-3051140A Lockwood Avenue, Suite 2 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051984 North Broadway Suite LL03 Yonkers NY 10701 Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583-32Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051541 Gramatan Avenue, Suite P3 Hawthorne NY 10532 Benjamin Wade (718) 696-305155 Old Nyack Turnpike, Suite 601 Nanuet NY 10954 Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 208 Mount Vernon NY 10550 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051480 Bedford Road Chappaqua NY 10514 Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051970 North Broadway, Suite 210 Yonkers NY 10701-13Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
140 Lockwood Avenue, Suite 216 New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30514773 Boston Post Road Pelham Manor NY 10803-30Benjamin Wade (718) 696-30513 Barker Avenue, 4th Floor White Plains NY 10601 Benjamin Wade (718) 696-3051688 White Plains Rd. Ste 220 Scarsdale NY 10583 Benjamin Wade (718) 696-3051623 Warburton Avenue Hastings on Hud NY 10706 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051475 Tuckahoe Road Yonkers NY 10710 Benjamin Wade (718) 696-305119 Bradhurst Avenue, Suite 38505Hawthorne NY 10532 Benjamin Wade (718) 696-3051110 Lockwood Avenue, #2 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051116 Fifth Ave Pelham NY 10803 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051322 Underhill Avenue Yorktown HeightNY 10598 Benjamin Wade (718) 696-3051688 White Plains Rd. Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-3051145 Huguenot Street, Suite 200 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305195 Grasslands Road Valhalla NY 10595 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-3051700 White Plains Road, Suite 343 Scarsdale NY 10583 Benjamin Wade (718) 696-3051127 South Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051700 White Plains Road, Suite 343 Scarsdale NY 10583 Benjamin Wade (718) 696-305126 Burling Lane, 2nd Floor New Rochelle NY 10801 Benjamin Wade (718) 696-3051153 Stevens Avenue, Suite 5 Mount Vernon NY 10552 Benjamin Wade (718) 696-3051970 North Broadway, Ste. 204 Yonkers NY 10701 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051100 Stevens Avenue 7th Floor Mount Vernon NY 10550 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051944 North Broadway Yonkers NY 10071 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051175 Memorial Highway LL14 New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051150 White Plains Road, Suite 210 Tarrytown NY 10591-55Benjamin Wade (718) 696-3051688 White Plains Road, Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-30514 Lyons Place, Esplanade Annex BuWhite Plains NY 10601 Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512 Overhill Road, Suite 225 Scarsdale NY 10583 Benjamin Wade (718) 696-30512 Overhill ROad, Suite 225 Scarsdale NY 10583 Benjamin Wade (718) 696-3051244 Westchester Avenue White Plains NY 10604 Benjamin Wade (718) 696-3051110 Lockwood Ave. New Rochelle NY 10801 Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051311 North Street Suite 402 White Plains NY 10605 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511 Elm Street, Suite 2B Tuckahoe NY 10707 Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051105 Stevens Avenue, Suite 602 Mount Vernon NY 10550 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-305119 Bradhurst Avenue Hawthorne NY 10532 Benjamin Wade (718) 696-3051970 North Broadway Yonkers NY 10701 Benjamin Wade (718) 696-30511 Theall Road Rye NY 10580 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
16 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051984 N. Broadway, Suite 400 Yonkers NY 10701 Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051120 Warren Street New Rochelle NY 10801 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051107 West 4th Street Mount Vernon NY 10550 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511730 Central Park Avenue Yonkers NY 10710 Benjamin Wade (718) 696-30512071 Boston Post Road Larchmont NY 10538 Benjamin Wade (718) 696-305112 Greenridge Ave., Ste. 301 White Plains NY 10605 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30516 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051171 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-305160 Hillside Lane New Rochelle NY 10804 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30512000 Frost Valley Road Claryville NY 12725-52Benjamin Wade (718) 696-305173 Market Street Yonkers NY 10710 Benjamin Wade (718) 696-30512005 Palmer Avenue, Ste. 200 Larchmont NY 10538 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511075 Central Park Avenue Scarsdale NY 10583 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051421 Huguenot Street New Rochelle NY 10801 Benjamin Wade (718) 696-3051469 N. Broadway Yonkers NY 10701 Benjamin Wade (718) 696-3051140A Lockwood Avenue, Suite 2 New Rochelle NY 10801 Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051688 White Plains Rd Suite 222 Scarsdale NY 10583 Benjamin Wade (718) 696-305111 Medical Park Dr., Suite 100 Pomona NY 10970 Benjamin Wade (718) 696-305173 Rdige Hill Market Street Yonkers NY 10710 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051212 Crystal Run Road Middletown NY 10941 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051322 Underhill Avenue Yorktown HeightNY 10598 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-3051120 Rosedale Avenue Hastings on Hud NY 10706 Benjamin Wade (718) 696-30511 Elm Street Suite 2A Tuckahoe NY 10707-39Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30512975 Westchester Ave., Ste. G03 Purchase NY 10577 Benjamin Wade (718) 696-30512422 Central Avenue Yonkers NY 10710 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051141 South Central Avenue, Suite 1Hartsdale NY 10530 Benjamin Wade (718) 696-30512345 Boston Post Road Larchmont NY 10538-35Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051260 Garth Road, Ste. 2H5 Scarsdale NY 10583 Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305112 North 7th Avenue Mount Vernon NY 10550-20Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051110 Lockwood Avenue New Rochelle NY 10801-50Benjamin Wade (718) 696-3051141 South Central Avenue Hartsdale NY 10530-23Benjamin Wade (718) 696-3051
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
3020 Westchester Avenue, Suite Purchase NY 10577 Benjamin Wade (718) 696-3051504 Gramaton Avenue Mount Vernon NY 10552 Benjamin Wade (718) 696-3051150 White Plains Road, Suite 200 Tarrytown NY 10591-55Benjamin Wade (718) 696-3051829 Bronx River Road Bronxville NY 10704 Benjamin Wade (718) 696-3051220 North Central Park Avenue Hartsdale NY 10530 Benjamin Wade (718) 696-3051Macy Pavillion, Rm 1100 Valhalla NY 10595 Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-30511010 Central Park Avenue Yonkers NY 10704-10Benjamin Wade (718) 696-305156 Doyer Avenue, Suite 1-E White Plains NY 10605 Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051495 Central Park Avenue Scarsdale NY 10583-10Benjamin Wade (718) 696-305116 Guion Place New Rochelle NY 10801-55Benjamin Wade (718) 696-3051440 White Plains Road Eastchester NY 10709-28Benjamin Wade (718) 696-3051P.O. Box 397 Putnam Valley NY 10579 Benjamin Wade (718) 696-3051 6 Executive Plaza Yonkers NY 10701-68Benjamin Wade (718) 696-3051606 Old Rt 17 Monticello NY 12701 Charlotte Ostman (845) 707-8619606 Old Rt 17 Monticello NY 12701 Charlotte Ostman (845) 707-8619606 Old Rt 17 Monticello NY 12701 Charlotte Ostman (845) 707-8619One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251One Gateway Plaza Port Chester New York 10573 Polly Kerrigan 914 872-5251391 Pelham Road New Rochelle NY 10805 Healy, Elaine 914-632-2804175 Huguenot Street; Suite 1404 New Rochelle NY 10801 Abolahrari, Saba 917-547-5614158 Lockwood Avenue New Rochelle NY 10801 Cheema, Mohan 914-235-054411 Crystal Spring Road Chappaqua NY 10514 Gupta, Gayatri 914-438-2703158 Lockwood Avenue New Rochelle NY 10801 Cirillo, Vincenzo 914-632-6647157 East 72nd St; Suite H NYC NY 10021 Culliford, Daniel 718-239-003012 North 1st Avenue Mt. Vernon NY 10550 Bangaruraju, Kolanuvadia 914-720-1047250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716250 WEST 49TH STREET, STE 405 NEW YORK NEW YORK 10019 STUART WEGER 646-313-3716Radiology Dept. 967 North Broad Yonkers NY 10701 (914) 964-4760Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603 (888) 647-5979514 Gramatan Avenue Suite P3 Mount Vernon NY 10552 (914) 699-7427St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953984 North Broadway Suite 510 Yonkers NY 10701 (914) 620-6600150 White Plains Road Suite 200 Tarrytown NY 10591 (914) 631-28951022 North Broadway Yonkers NY 10701 (914) 963-028419 Bradhurst Avenue Suite 1300NHawthorne NY 10532 (914) 789-270088 Ashford Avenue Dobbs Ferry NY 10522 (914) 478-0641984 North Broadway Suite 310 Yonkers NY 10701 (914) 963-0010Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866984 North Broadway Suite 400A Yonkers NY 10701 (914) 909-4522984 North Broadway Suite 400A Yonkers NY 10701 (914) 909-4522472 Palmer Road Yonkers NY 10701 (914) 375-23001997 State Route 17M, #7 Goshen NY 10924-5230 (845) 986-9050955 Yonkers Avenue Yonkers NY 10704 (914) 237-0994984 North Broadway Suite 501 Yonkers NY 10701 (914) 965-2606New Image Weight Loss 128 Ashf Dobbs Ferry NY 10522 (914) 693-0055Ashikari Breast Center 128 Ashfo Dobbs Ferry NY 10522 (914) 693-5025Ashikari Breast Center 128 Ashfo Dobbs Ferry NY 10522 (914) 693-5025469 North Broadway Yonkers NY 10701 (914) 969-1115c/o Nayel Sayegh, M.D. 944 NorthYonkers NY 10701 (914) 378-0271970 North Broadway Suite 308B Yonkers NY 10701 (914) 423-8000
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Northside Pediatrics 970 North Br Yonkers NY 10701 (914) 966-1900New York Medical College 106 MunValhalla NY 10595 (914) 493-7585970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-1543984 North Broadway, Suite 311 Yonkers NY 10701 (914) 965-2060Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866128 Ashford Avenue Lower Level Dobbs Ferry NY 10522 (914) 693-2057984 North Broadway Suite L-03 Yonkers NY 10701 (914) 965-6658White Plains Hospital Center 41 E White Plains NY 10601 (914) 681-1069695 Dutchess Turnpike, Suite 105 Poughkeepsie NY 12603 (888) 647-5979Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603 (888) 647-5979970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-1543White Plains Radiology 41 East Po White Plains NY 10601 (914) 681-1069984 North Broadway Suite LL-04 Yonkers NY 10701 (914) 963-6746970 North Broadway Suite 201 Yonkers NY 10701 (914) 966-1900915 Palmer Road Bronxville NY 10708 (914) 793-6900337 Kimball Avenue Yonkers NY 10704 (914) 338-7534811 North Broadway White Plains NY 10603 (914) 686-000635 East Grassy Sprain Road Suite Yonkers NY 10710 (914) 779-5606102 Park Avenue Yonkers NY 10703 (914) 968-1611984 North Broadway Suite 501 Yonkers NY 10701 (914) 965-260639 Grand Boulevard Scarsdale NY 10583 (914) 723-9325Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1060118 N. Bedford Road, Suite 200 Mount Kisco NY 10549-2995 (800) 362-6220Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866Behavioral Health Services Two P Yonkers NY 10703 (914) 964-7873Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-433020 Beacon Hill Drive Ste. 2B Dobbs Ferry NY 10522 (914) 591-6888Executive Pediatrics 984 North Br Yonkers NY 10701 (914) 963-766812 Church Street White Plains NY 10601 (914) 997-6023200 South Broadway Tarrytown NY 10591 (914) 631-7300Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-886624 Saw Mill River Road Suite 206 Hawthorne NY 10532 (914) 631-7777970 North Broadway Suite 308A Yonkers NY 10701 (914) 407-120610 Old Forge Lane Tarrytown NY 10591 (914) 631-7624128 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-5025Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
970 North Broadway Suite 210 Yonkers NY 10701 (914) 963-0111970 North Broadway Ste. 311 Yonkers NY 10701 (914) 969-3635200 South Broadway Ste. 104 Sleepy Hollow NY 10591 (914) 631-1535984 North Broadway Suite 500A Yonkers NY 10701 (914) 424-61282345 Boston Post Road Larchmont NY 10538 (914) 833-044441 E. Post Road White Plains NY 10601 (914) 681-1260280 North Central Avenue Suite 2 Hartsdale NY 10530 (914) 332-0396Hope Center 2 Park Avenue Yonkers NY 10703 (914) 964-7595Dept. of Radiology 128 Ashford A Dobbs Ferry NY 10522 (914) 559-10431010 North Broadway Yonkers NY 10701 (914) 968-353515 North Broadway, Garden Level White Plains NY 10601 (914) 761-8901Family Medicine of Westchester 1Yonkers NY 10701 (914) 207-0004Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187984 North Broadway Suite LL-04 Yonkers NY 10701 (914) 963-6746One Pondfield Road Bronxville NY 10708 (914) 337-5956Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866944 North Broadway Suite 201 Yonkers NY 10701 (914) 476-1520Dept. of Anesthesiology 967 Nort Yonkers NY 10701 (914) 964-4972Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4349ENT & Allergy Assoc., LLP 984 Nor Yonkers NY 10701 (914) 963-8588970 North Broadway Suite 308A Yonkers NY 10701 (914) 375-2229200 South Broadway Ste. 104 Tarrytown NY 10591 (914) 631-1535Davis Avenue & E. Post Road White Plains NY 10601 (914) 681-1260Ridge Hill, 73 Market Street Ste. 2 Yonkers NY 10710 (914) 831-4160Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187944 North Broadway Suite 108 Yonkers NY 10701 (914) 476-1322944 North Broadway Suite 108 Yonkers NY 10701 (914) 476-1322200 South Broadway Ste. 205 Sleepy Hollow NY 10591 (914) 681-9089503 South Broadway Yonkers NY 10705 (914) 965-9771970 North Broadway, Suite 101 Yonkers NY 10701 (914) 969-1600122 Maple Avenue White Plains NY 10601 (914) 949-4861970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-33661075 Central Park Avenue Suite 4 Scarsdale NY 10583 (914) 725-7030631 Saw Mill River Road Ste. 1 So Ardsley NY 10502 (914) 693-8479Scarsdale Plaza 455 Central Park Scarsdale NY 10583 (914) 723-4888Davis Ave. & E. Post Road White Plains NY 10601 (914) 681-1260
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
984 North Broadway Suite 316 Yonkers NY 10701 (914) 965-1400970 North Broadway Suite 107 Yonkers NY 10701 (914) 966-0505Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866984 North Broadway Suite 509 Yonkers NY 10701 (914) 968-0620469 North Broadway Yonkers NY 10701 (914) 969-1115200 South Broadway Suite 4 Tarrytown NY 10591 (914) 969-3635Global Medical Services 984 Nort Yonkers NY 10701 (914) 375-3755969 Main Street Fishkill NY 12524 (845) 896-8233Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603 (888) 647-597922 Edgecliff Terrace Yonkers NY 10705 (914) 476-120818 Ashford Avenue Suite 2M Dobbs Ferry NY 10522 (914) 693-8228Imaging on Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603 (888) 647-5979984 North Broadway Suite 407 Yonkers NY 10701 (914) 965-81003 Barker Avenue, 4th Floor White Plains NY 10601 (914) 949-7900Dept. of Pathology 967 North Bro Yonkers NY 10701 (914) 964-4411970 North Broadway Suite 204 Yonkers NY 10701 (914) 476-4343Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866Advanced Urology ofWestchester Yonkers NY 10701 (914) 375-5700Davis Avenue & E. Post Road White Plains NY 10601 (914) 681-1260Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603-6443 (888) 647-5979Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4333Dept. of Pediatrics NY Medical Co Valhalla NY 10595 (914) 594-4370Dept. of Anesthesiology 967 Nort Yonkers NY 10701 (914) 964-4972128 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-6500Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4330c/o Jose Lantin, M.D. 102 Park Av Yonkers NY 10703 (914) 375-6400Imaging on Call 695 Dutchess TurnpPoughkeepsie NY 12603 (888) 647-5979150 White Plains Road Suite 200 Tarrytown NY 10591 (914) 631-2895127 South Broadway Suite 409 Yonkers NY 10701 (914) 378-7583Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4366944 North Broadway Suite 103 Yonkers NY 10701 (914) 968-00001010 North Broadway Yonkers NY 10701 (914) 969-0770Pediatric Cardiology-Rm 618 New Valhalla NY 10595 (914) 594-4370Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Asthma & Allergy Medical Care, P Yonkers NY 10701 (914) 476-8877P.O. Box 414 Hartsdale NY 10530 (914) 963-14001022 North Broadway Yonkers NY 10701 (914) 963-02841 Elm Street, Suite 2A Tuckahoe NY 10707 (914) 961-2515102 Park Avenue 2nd Floor Yonkers NY 10703 (914) 751-3524Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4787970 North Broadway Suite 312 Yonkers NY 10701 (914) 968-4695350 S. Main Street New City NY 10956 (845) 634-750018 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-8211141 South Central Park Avenue SuHartsdale NY 10530 (914) 713-32282 Crosfield Avenue, Suite 302 West Nyack NY 10994 (845) 358-2844Dept. of Anesthesiology 967 Nort Yonkers NY 10701 (914) 964-4972Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4321Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4366944 North Broadway Suite 103 Yonkers NY 10701 (914) 968-00001022 North Broadway Yonkers NY 10701 (914) 963-0284Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-88661010 North Broadway Yonkers NY 10701 (914) 423-81151010 North Broadway Yonkers NY 10701 (914) 423-811541 East Post Road White Plains NY 10601 (914) 681-1260Imaging on Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979102 Park Avenue Yonkers NY 10703 (914) 751-3121495 Central Park Avenue Scarsdale NY 10583 (914) 722-1600Imaging on Call, LLC 695 Dutchess Poughkeepsie NY 12603 (888) 647-5979750 McLean Avenue Yonkers NY 10704 (914) 237-868641 East Post Road White Plains NY 10601 (914) 681-1260350 South Main Street New City NY 10956 (845) 634-7500350 South Main Street New City NY 10956 (845) 634-7500221 East Hartsdale Avenue Hartsdale NY 10530 (914) 723-3377200 South Broadway Suite 106 Tarrytown NY 10591 (914) 366-0633Maria Fareri Children's Hospital, Valhalla NY 10595 (914) 493-8488Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4787Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866377 North Broadway, Suite L2 Yonkers NY 10701 (914) 613-3177695 Dutchess Turnpike Suite 105 Poughkeepsie NY 12603 (888) 647-5979
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1020 North Broadway Yonkers NY 10701 (914) 375-2800South Yonkers Family Medicine 32Yonkers NY 10704 (914) 237-828245 Ludlow Street #516 Yonkers NY 10705 (914) 963-3322St. John's Riverside Hospital 3 We Yonkers NY 10701 (914) 964-422619 Bradhurst Avenue Suite 1300NHawthorne NY 10532 (914) 789-2720WMC-Dept. of Neonatology 95 GrValhalla NY 10595 (914) 493-8558St. John's Riverside Hospital 3 We Yonkers NY 10701 (914) 964-4226984 North Broadway Suite L04 Yonkers NY 10701 (914) 327-344441 East Post Road White Plains NY 10601 (914) 681-060045 Ludlow Street Suite 318 Yonkers NY 10705 (914) 969-5555695 Dutchess Turnpike, Suite 105 Poughkeepsie NY 12603 (888) 647-5979100 Woods Road Att: NICU-2nd. FlValhalla NY 10595 (914) 493-8558970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-1543777 North Broadway Suite 306 Sleepy Hollow NY 10591 (914) 631-8414615 Broadway Hastings on Hud NY 10706 (914) 478-8585200 South Broadway Suite 100 Tarrytown NY 10591 (914) 631-930011 Cedar Street Dobbs Ferry NY 10522 (914) 693-5502Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-886621st Century Oncology 970 North Yonkers NY 10701 (914) 969-1600Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866Emergency Department 967 Nort Yonkers NY 10701 (914) 964-435241 East Post Road White Plains NY 10601 (914) 681-1260Imaging on Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979615 Broadway Hastings-on-HudNY 10706 (914) 963-16631978 Crompond Road Ste. 102 Cortlandt ManorNY 10567 (914) 293-8700955 Yonkers Avenue Suite 103 Yonkers NY 10704 (914) 237-4720128 Ashford Avenue Lower Level Dobbs Ferry NY 10522 (914) 693-20571022 North Broadway Yonkers NY 10701 (914) 965-2900Dept. of Pathology 707 East Main Middletown NY 10940 (201) 661-7280Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-10601010 North Broadway Yonkers NY 10701 (914) 968-353545 Ludlow Street Suite 700 Yonkers NY 10705 (914) 375-2700Skyline Office-40 Sunshine Cottta Valhalla NY 10595 (914) 594-2222Park Care Pavilion 2 Park Avenue Yonkers NY 10703 (914) 964-73003020 Westchester Avenue Suite 3 Purchase NY 10577 (914) 253-8070NY Group for Plastic Surgery 155 WSleepy Hollow NY 10591 (914) 366-6139
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
440 Mamaroneck Avenue Suite 41Harrison NY 10528 (914) 761-8667Munger Pavilion, Room 618 Valhalla NY 10595 (914) 594-4370100 Stevens Avenue Ste. 5A Mount Vernon NY 10550 (914) 699-4343105 Stevens Avenue Suite 109 Mount Vernon NY 10550 (914) 664-7311472 Palmer Road Yonkers NY 10701 (914) 375-2300260 South Broadway Yonkers NY 10705 (914) 965-9700P.O. Box 569 Suffern NY 10901-0569 (845) 369-4200984 North Broadway Suite 401A Yonkers NY 10701 (914) 965-8866970 North Broadway, Suite 204 Yonkers NY 10701 (914) 476-4343984 North Broadway Suite 511 Yonkers NY 10701 (914) 965-2526970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635SJRH - Dept. of Anesthesiology 9 Yonkers NY 10701 (914) 964-4972751 Kimball Avenue Yonkers NY 10704 (914) 237-4700102 Park Avenue Yonkers NY 10703 (914) 376-377059 Kensico Drive Mount Kisco NY 10549 (914) 241-49001055 Saw Mill River Road, Suite 20Ardsley NY 10502 (914) 693-7191Maria Fareri Children's Hospital Valhalla NY 10595 (914) 493-855869 Waring Place Yonkers NY 10703 (914) 969-177526 Burling Lane, 2nd Floor New Rochelle NY 10801 (914) 235-188818 Ashford Ave Suite 2E Dobbs Ferry NY 10522 (914) 591-4360984 North Broadway Suite L-02 Yonkers NY 10701 (914) 476-0650128 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-5025880 Mile Square Road Yonkers NY 10704 (914) 207-76002 Park Avenue Yonkers NY 10703 (914) 964-7862122 Maple Avenue White Plains NY 10601 (914) 681-121941 East Post Road White Plains NY 10601 (914) 681-1260122 Maple Avenue White Plains NY 10601 (914) 285-9808Park Care OB/GYN Clinic Two Par Yonkers NY 10703 (914) 964-7477970 North Broadway Suite 210 Yonkers NY 10701 (914) 963-0111135 Vredenburgh Avenue Yonkers NY 10704 (914) 237-5430Behavioral Health Services Two P Yonkers NY 10703 (914) 964-7762Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1060Behavioral Health Services Two P Yonkers NY 10703 (914) 964-736818 Ashford Avenue Suite 2E Dobbs Ferry NY 10522 (914) 693-1322RMA of New York, LLP 15 North BrWhite Plains NY 10601 (914) 997-6200NY Group for Plastic Surgery 155 Tarrytown NY 10591 (914) 366-6139
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
688 White Plains Road Suite 221 Scarsdale NY 10583 (914) 722-26001055 Saw Mill River Road Ste. 211Ardsley NY 10502 (914) 693-3633Nyack Hospital-Behavioral Health Nyack NY 10960 (845) 348-8357469 North Broadway Yonkers NY 10701 (914) 969-1115One Pondfield Road Bronxville NY 10708 (914) 337-595610 Kenilworth Lane Rye NY 10580 (914) 524-8837Dept. of Radiology 701 North Bro Sleepy Hollow NY 10591 (914) 366-3450350 South Main Street New City NY 10956 (845) 634-7500984 North Broadway Suite 312 Yonkers NY 10701 (914) 968-8972Westchester Medical Center Div. Valhalla NY 10595 (914) 493-855818 Ashford Avenue Suite 2E Dobbs Ferry NY 10522 (914) 693-1322984 North Broadway Suite 312 Yonkers NY 10701 (914) 376-2372970 North Broadway Suite 305B Yonkers NY 10701 (914) 375-6400777 North Broadway Ste. 204 Sleepy Hollow NY 10591 (914) 631-3660970 North Broadway Ste. 307 Yonkers NY 10701 (914) 294-0600118 North Bedford Road Suite 200Mount Kisco NY 10549 (914) 666-8866150 White Plains Road Suite 110 Tarrytown NY 10591 (914) 631-9207160 N. State Road Briarcliff Manor NY 10510 (914) 762-8383770B McLean Avenue Yonkers NY 10704 (914) 237-3636970 North Broadway Suite 204 Yonkers NY 10701 (914) 476-4343600 Mamaroneck Avenue Harrison NY 10528 (914) 670-0500984 North Broadway Suite 315 Yonkers NY 10701 (914) 965-3670Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352150 White Plains Road Suite 200 Tarrytown NY 10591 (914) 631-289518 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-8228Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-10881010 North Broadway Yonkers NY 10701 (914) 423-811541 East Post Road White Plains NY 10601 (914) 681-2929695 Dutchess Turnpike, Suite 105 Poughkeepsie NY 12603 (888) 647-597919 Bradhurst Avenue Suite 2100 Hawthorne NY 10532 (914) 493-8375Restoration Sports & Spine CenterDobbs Ferry NY 10522 (914) 693-1050970 North Broadway Suite 202 Yonkers NY 10701 (914) 476-5496Hudson River HealthCare Two ParYonkers NY 10703 (914) 964-786219 Bradhurst Avenue Suite 1300NHawthorne NY 10532 (914) 789-27351010 North Broadway Yonkers NY 10701 (914) 968-3535
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Northeastern Anesthesia Group 11Mt Kisco NY 10549 (914) 666-886616 Guion Place New Rochelle NY 10802 (914) 637-1646131 Park Avenue Yonkers NY 10703 (914) 968-680124 Saw Mill River Road Suite 206 Hawthorne NY 10532 (914) 631-7777311 North Street, Suite 404 White Plains NY 10605 (914) 682-9440St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8952Cardiology Associates of Westche Yonkers NY 10701 (914) 423-8118970 North Broadway Suite 107 Yonkers NY 10701 (914) 966-0505147 Park Avenue Yonkers NY 10703 (914) 375-4433Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4349Behavioral Health Services Two P Yonkers NY 10703 (914) 964-7560984 North Broadway Suite 302 Yonkers NY 10704 (914) 423-0600Cardiology Associates of Westche Yonkers NY 10701 (914) 423-8118970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635970 North Broadway Suite 310 Yonkers NY 10701 (914) 966-1426Northeastern Anesthesia Services Mt Kisco NY 10549 (914) 666-8866155 White Plains Road Suite 109 Tarrytown NY 10591 (914) 366-6139Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1060Riverhill Podiatry Assoc., PC 984 Yonkers NY 10701 (914) 966-0809200 South Broadway Tarrytown NY 10591 (914) 631-7300St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866984 North Broadway Suite 311 Yonkers NY 10701 (914) 965-20601010 North Broadway Yonkers NY 10701 (914) 968-353520 Beacon Hill Drive Suite 2A Dobbs Ferry NY 10522 (914) 693-9400Behavioral Health Services Two P Yonkers NY 10701 (914) 964-8022140A Lockwood Avenue New Rochelle NY 10801 (914) 636-4466955 Yonkers Avenue Suite 11 Yonkers NY 10704 (914) 776-2778Imaging On Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-51871053 Saw Mill River Road Lower LeArdsley NY 10502 (914) 231-7666Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4321984 North Broadway Suite 402 Yonkers NY 10701 (914) 378-037720 Beacon Hill Drive Suite 2A Dobbs Ferry NY 10522 (914) 693-9400Park Care Pavilion 2 Park Avenue Yonkers NY 10703 (914) 964-7300Imaging On Call 695 Dutchess Tur Poughkeepsie NY 12603 (888) 647-5979
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
472 Palmer Road Yonkers NY 10701 (914) 375-2300Dept. of Emergency Medicine 967Yonkers NY 10701 (914) 964-4352655 Yonkers Avenue Yonkers NY 10704 (914) 476-256259 Kensico Drive Mount Kisco NY 10549 (914) 241-4900Imaging On Call, LLD 695 DutchessPoughkeepsie NY 12603-6443 (888) 647-5979615 Broadway, Lower level Hastings-on-HudNY 10706 (914) 478-3550Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953955 Yonkers Avenue Suite 11 Yonkers NY 10704 (914) 237-1274St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953984 North Broadway Suite 407 Yonkers NY 10701 (914) 965-8100Imaging on Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953970 North Broadway Suite 107 Yonkers NY 10701 (914) 966-0505Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1088503 South Broadway Yonkers NY 10705 (914) 965-97711019 Yonkers Avenue Yonkers NY 10704 (914) 237-1941102 Park Avenue Yonkers NY 10703 (914) 751-35241 Odell Plaza Yonkers NY 10701 (914) 423-9000Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866695 Dutchess Turnpike Poughkeepsie NY 12603 (888) 647-5979Phelps Memorial Hospital Center Sleepy Hollow NY 10591 (914) 366-3400984 North Broadway Suite L0-8A Yonkers NY 10701 (914) 423-7267955 Yonkers Avenue Suite 12 Yonkers NY 10704 (914) 237-8000955 Yonkers Avenue Suite 11 Yonkers NY 10704 (914) 237-7031Global Medical Services 984 Nort Yonkers NY 10701 (914) 502-3249128 Ashford Avenue Lower Level Dobbs Ferry NY 10522 (914) 693-2057SJRH- Dept. of Anesthesiology 96 Yonkers NY 10701 (914) 964-4972St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8952111 North Central Avenue Hartsdale NY 10530 (914) 683-6177128 Ashford Avenue Dobbs Ferry NY 10522 (914) 693-65002422 Central Park Avenue Yonkers NY 10710 (212) 824-2350Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-518777 Pondfield Road Bronxville NY 10708 (914) 337-8797Westchester Medical Center Div. Valhalla NY 10595 (914) 493-8558
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
970 North Broadway, Suite 311 Yonkers NY 10701 (914) 969-363545 Ludlow Street Suite 404 Yonkers NY 10705 (914) 376-9349984 North Broadway Suite 501 Yonkers NY 10701 (914) 965-260624 Saw Mill River Road, Suite 206 Hawthorne NY 10532 (914) 631-7777Behavioral Health Services 2 Park Yonkers NY 10703 (914) 964-7377Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4349Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1060Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866579 Warburton Avenue Suite 2 Hastings-on-HudNY 10706 (914) 478-5121Mignone Medical Eye Care, P.C. 9 Yonkers NY 10704 (914) 237-20021428 Midland Avenue Bronxville NY 10708 (914) 237-7300127 South Broadway Suite: Rehab Yonkers NY 10701 (914) 591-3271984 North Broadway, Suite 510 Yonkers NY 10701 (914) 620-6600Newburgh Podiatry 450 Gidney AveNewburgh NY 12550 (845) 565-3331Imaging On Call, LLC 695 DutchessPoughkeepsie NY 12603-6443 (888) 647-5979970 North Broadway Suite 308A Yonkers NY 10701 (914) 375-2229657 Yonkers Avenue Yonkers NY 10704 (914) 476-8855970 North Broadway Suite 308B Yonkers NY 10701 (914) 423-8000Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866944 North Broadway Suite 103 Yonkers NY 10701 (914) 968-6644970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-3366777 North Broadway #204 North TarrytownNY 10591 (914) 631-3660944 North Broadway Suite 202 Yonkers NY 10701 (914) 963-2484944 North Broadway Suite 208 Yonkers NY 10701 (914) 237-6718984 North Broadway Suite 314 Yonkers NY 10701 (914) 643-3879984 North Broadway Suite 314 Yonkers NY 10701 (914) 709-065988 Ashford Ave Dobbs Ferry NY 10522 (914) 591-8400656 Yonkers Avenue Yonkers NY 10704 (914) 963-3366944 North Broadway Suite 103 Yonkers NY 10701 (914) 968-0000136 South Broadway Yonkers NY 10701 (914) 965-0621970 North Broadway Ste. 204 Yonkers NY 10701 (914) 476-4343984 North Broadway Suite 507 Yonkers NY 10701 (914) 968-665550 Morsemere Place Yonkers NY 10701 (914) 968-6619695 Dutchess Turnpike, #105 Poughkeepsie NY 12603 (888) 647-59791 Elm Street Tuckahoe NY 10707 (914) 337-0606755 North Broadway Suite 520 Sleepy Hollow NY 10591 (914) 366-1144
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Dept. of Radiology 967 North Bro Yonkers NY 10701 (914) 964-4479Mount Sinai - Riverside Medical Yonkers NY 10701 (914) 965-4424Northeastern Anesthesia Services,Mt Kisco NY 10549 (914) 666-8866984 North Broadway Suite 311 Yonkers NY 10701 (914) 965-2060984 North Broadway Suite 415 Yonkers NY 10701 (914) 375-37551730 Central Park Avenue Suite 3 Yonkers NY 10710 (914) 779-0141984 North Broadway Suite LL-04B Yonkers NY 10701 (914) 423-9400970 North Broadway Ste. 111 Yonkers NY 10701 (914) 965-2026695 Dutchess Turnpike, Suite 105 Poughkeepsie NY 12603 (888) 647-5979NY Group for Plastic Surgery 155 WTarrytown NY 10591 (914) 366-6139136 South Broadway Yonkers NY 10701 (914) 965-0621875 Yonkers Avenue Yonkers NY 10704 (914) 237-0959Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-895388 Ashford Avenue Dobbs Ferry NY 10522 (914) 478-0641777 North Broadway Suite 300 Sleepy Hollow NY 10591 (914) 366-8860625 McLean Avenue Yonkers NY 10705 (914) 423-5000102 Park Avenue Yonkers NY 10703 (914) 965-4300Yonkers Urology, P.C. 944 North BYonkers NY 10701 (914) 378-1000140 Elm Street Yonkers NY 10701 (914) 375-5206970 North Broadway Suite 308A Yonkers NY 10701 (914) 375-2229970 North Broadway Suite 109 Yonkers NY 10701 (914) 969-5050750 Kimball Avenue Yonkers NY 10704 (914) 237-6763Davis Avenue & E. Post Road White Plains NY 10601 (914) 681-1260WestMed 73 Market Street, Suite Yonkers NY 10710 (914) 848-8085Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866984 North Broadway Suite 309 Yonkers NY 10701 (914) 963-7931970 North Broadway Suite 209 Yonkers NY 10701 (914) 423-8517Dept. of Pathology 967 North Bro Yonkers NY 10701 (914) 964-4401984 North Broadway Suite 306 Yonkers NY 10701 (914) 476-4467Behavioral Health Services Two P Yonkers NY 10703 (914) 964-756019 Bradhurst Avenue Suite 2100 Hawthorne NY 10532 (914) 493-837512 Studio Arcade Bronxville NY 10708 (914) 337-7833244 Westchester Avenue Suite 31 White Plains NY 10604 (914) 949-8501Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352984 North Broadway Suite LL03 Yonkers NY 10701 (914) 207-1161
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
5 Seminary Avenue Yonkers NY 10704 (914) 965-3755Dept. of Anesthesiology 967 Nort Yonkers NY 10701 (914) 964-4972970 North Broadway Suite 210 Yonkers NY 10701 (914) 963-01111010 North Broadway Yonkers NY 10701 (914) 423-8115970 North Broadway Suite 206 Yonkers NY 10701 (914) 969-7100Cardiovascular Services, P.C. 970 Yonkers NY 10701 (914) 963-0111Imaging On Call 695 Dutchess TurnPoughkeepsie NY 12603 (888) 647-5979Dept. of Anesthesiology 967 Nort Yonkers NY 10701 (914) 964-4972St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953944 North Broadway Suite 207 Yonkers NY 10701 (914) 969-66771034 North Broadway Ste. 2D Yonkers NY 10701 (914) 327-4433984 North Broadway Suite 510 Yonkers NY 10701 (914) 620-6600623 Warburton Avenue Hastings-on-HudNY 10706 (914) 478-3001615 Broadway Hastings-on-HudNY 10706 (914) 963-1663Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187475 Tuckahoe Road Yonkers NY 10710 (914) 961-2700559 Gramatan Avenue Suite 201 Mount Vernon NY 10552 (914) 668-7386970 North Broadway Suite 310 Yonkers NY 10701 (914) 966-1426White Plains Hospital Center-Eme White Plains NY 10601 (914) 681-1155Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352Northeastern Anesthesia Services Mount Kisco NY 10549 (914) 666-8866970 North Broadway Suite 107 Yonkers NY 10701 (914) 966-05051053 Saw Mill River Road Ardsley NY 10502 (914) 693-2946984 North Broadway Suite 400 Yonkers NY 10701 (914) 963-858855 Palmer Avenue Bronxville NY 10708 (914) 787-3128153 Stevens Avenue, #5 Mount Vernon NY 10550 (914) 667-1620944 North Broadway Suite 201 Yonkers NY 10701 (914) 968-5574731 Saw Mill River Road Suite 5 Ardsley NY 10502 (914) 693-5470970 North Broadway Suite 204 Yonkers NY 10701 (914) 476-4343141 S. Central Avenue, #100 Hartsdale NY 10530 (914) 686-3950944 North Broadway Suite 102 Yonkers NY 10701 (914) 423-8118118 North Bedford Road, Suite 200Mount Kisco NY 10549 (914) 666-88662 Crosfield Avenue, Suite 302 Nyack NY 10994 (845) 358-2844Emergency Department 128 AshfoDobbs Ferry NY 10522 (914) 693-5187984 North Broadway, Suite 400 Yonkers NY 10701 (914) 963-8588WestMed at Ridge Hill 73 Market SYonkers NY 10710 (914) 848-8085
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
45 Ludlow Street Yonkers NY 10705 (914) 963-323235 E Grassy Sprain Road Ste. 102 Yonkers NY 10710 (914) 652-7477Behavioral Health Services 2 Park Yonkers NY 10703 (914) 964-7841Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-8866200 South Broadway Suite 200 Tarrytown NY 10591 (914) 631-6563750 Kimball Avenue Yonkers NY 10704 (914) 237-6763984 North Broadway Suite 501 Yonkers NY 10701 (914) 965-2606984 North Broadway Ste. 305 Yonkers NY 10701 (914) 237-437788 Ashford Avenue Dobbs Ferry NY 10522 (800) 656-95741019 Yonkers Avenue, 1st Floor Yonkers NY 10704 (914) 457-9140Parkway Plaza Medical Center 1 ElTuckahoe NY 10707 (914) 337-910028 Main Street Hastings-on-HudNY 10706 (914) 693-1982Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4352970 North Broadway Suite 310 Yonkers NY 10701 (718) 213-383121st Century Oncology 970 North Yonkers NY 10701 (914) 969-1600984 North Broadway Suite 400 Yonkers NY 10701 (914) 963-8588New York Medical College Munger PValhalla NY 10595 (914) 493-7585Davis Avenue & East Post Road White Plains NY 10601 (914) 681-1273967 North Broadway Yonkers NY 10701 (914) 798-8952 41 East Post Road White Plains NY 10601 (914) 681-1260970 North Broadway Suite 207 Yonkers NY 10701 (914) 376-5828Park Care Diabetes Clinic Two Par Yonkers NY 10703 (914) 964-78621730 Central Park Avenue Suite 3 Yonkers NY 10710 (914) 779-0141136 South Broadway Yonkers NY 10701 (914) 965-0621955 Yonkers Avenue Suite 201 Yonkers NY 10704 (914) 776-2921695 Dutchess Turnpike, Suite 105 Poughkeepsie NY 12603 (888) 647-59791034 North Broadway 2nd Floor Yonkers NY 10701 (914) 207-0004944 North Broadway Suite 208 Yonkers NY 10701 (914) 226-8555Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1088St. Joseph's Medical Center 127 Yonkers NY 10701 (914) 968-5446200 South Broadway Tarrytown NY 10591 (914) 631-2500469 North Broadway Yonkers NY 10701 (914) 969-1115140 A Lockwood Ave., Suite 2 New Rochelle NY 10801 (914) 964-44481133 Westchester Avenue Suite NWhite Plains NY 10604 (914) 358-97001034 North Broadway 2nd Floor Yonkers NY 10701 (914) 966-8818984 North Broadway, Suite 400 Yonkers NY 10701 (914) 963-8588
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
777 North Broadway Ste. 204 Sleepy Hollow NY 10591 (914) 631-3660Hudson River HealthCare Two ParYonkers NY 10703 (914) 964-7810615 Broadway Hastings-on-HudNY 10706 (914) 963-1663Revelations -3 West 2 Park Avenu Yonkers NY 10703 (914) 964-7863Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-1060140 Pondfield Road West Suite 1- Bronxville NY 10708 (914) 793-61612 Crosfield Avenue Suite 302 West Nyack NY 10994 (845) 358-2844Emergency Department 967 Nort Yonkers NY 10701 (914) 964-4349970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-3366695 Dutchess Turnpike, #10 Poughkeepsie NY 12603 (888) 647-5979Montefiore Institute for ReproducHartsdale NY 10530 (914) 997-10603020 Westchester Avenue, Suite 3Purchase NY 10577 (914) 253-8070150 White Plains Road Suite 200 Sleepy Hollow NY 10591 (914) 631-2895824 Bronx River Road Bronxville NY 10708 (914) 237-84631 Pondfield Road Suite 203 Bronxville NY 10708 (914) 337-3070Imaging On Call, LLD 695 DutchessPoughkeepsie NY 12603-6443 (888) 647-5979White Plains Hospital-Dept. of RadWhite Plains NY 10601 (914) 681-2929St. John's Riverside Hospital 967 Yonkers NY 10701 (914) 798-8953Northeastern Anesthesia Services,Mount Kisco NY 10549 (914) 666-88662 Park Ave Yonkers NY 10703-3402 914-964-75322 Park Ave Yonkers NY 10703-3402 914-964-7396967 North Broadway Yonkers NY 10701-1301 914-966-9787200 South Broadway Tarrytown NY 10591 914-332-153330 South Highland Ave Ossining NY 10562 914-502-00701034 N. Broadway, 2nd Floor Yonkers NY 10701 914-207-0004226A W. 238th St. Bronx NY 10463 914-376-7766140 Elm St. Yonkers NY 10701 914-375-520633 Cedar St. Room 5 Rye NY 10580 914-481-5106140 Elm St. Yonkers NY 10701 914-375-520615 Canal Rd Pelham Manor NY 10803 914-738-11442241 Ocean Ave Brooklyn NY 11229 718-998-1375647 Howard Ave W. Hempstead NY 11552 516-564-85273 Barker Ave, 4th Floor White Plains NY 10601 914-949-1199337 Kimball Ave Yonkers NY 10704 914-338-7534102 Park Ave Yonkers NY 10703 914-968-16113 Barker Ave, 4th Floor White Plains NY 10601 914-949-1199
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
970 N. Broadway, Suite 204 Yonkers NY 10701 914-476-43431034 N. Broadway, 2nd Floor Yonkers NY 10701 914-375-5700102 Park Ave, 2nd Floor Yonkers NY 10701 914-423-18663 Barker Ave, 4th Floor White Plains NY 10601 914-949-1199955 Yonkers Ave Yonkers NY 10704 914-237-4720102 Park Ave, 2nd Floor Yonkers NY 10701 914-423-18663 Barker Ave, 4th Floor White Plains NY 10601 914-949-7900984 N. Broadway, Suite 501 Yonkers NY 10701 914-965-2606226A W. 238th St. Bronx NY 10463 914-601-33001034 N. Broadway, 2nd Floor Yonkers NY 10701 914-207-0004970 N. Broadway, Suite 107 Yonkers NY 10701 914-966-05053 Barker Ave, 4th Floor White Plains NY 10601 914-949-1199136 So. Broadway Yonkers NY 10701 914-965-062120 Warren Farm Road Hopewell Juncti New York 12533 Andrew O'Grady 845-473-250081 South Broadway Yonkers NY 10701-4004127 South Broadway Yonkers NY 10701-408081 South Broadway Yonkers NY 10701-4004415 South Broadway Yonkers NY 10705-2302127 South Broadway Yonkers NY 10701-408032 Hyatt Avenue Yonkers NY 10704-431181 South Broadway Yonkers NY 10701-4004127 South Broadway Yonkers NY 10701-408032 Hyatt Avenue Yonkers NY 10704-431181 South Broadway Yonkers NY 10701-4004102 Park Avenue Yonkers NY 10703-293475 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-40043 Barker Avenue, 4th Floor White Plains NY 10601-1524147 Park Avenue Yonkers NY 10703-293781 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-4004415 South Broadway Yonkers NY 10705-2302984 North Broadway, Suite 314 Yonkers NY 10701-1308984 North Broadway, Suite 314 Yonkers NY 10701-1308
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
107 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-4004107 South Broadway Yonkers NY 10701-4006136 South Broadway Yonkers NY 10701-400875 South Broadway Yonkers NY 10701-4004107 South Broadway Yonkers NY 10701-400681 South Broadway Yonkers NY 10701-4004415 South Broadway Yonkers NY 10705-2302127 South Broadway Yonkers NY 10701-408081 South Broadway Yonkers NY 10701-400481South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-400481 South Broadway Yonkers NY 10701-4004107 South Broadway Yonkers NY 10701-400681 South Broadway Yonkers NY 10701-4004107 South Broadway Yonkers NY 10701-4006127 South Broadway, Room 406 Yonkers NY 10701-4080127 South Broadway Yonkers NY 10701 (914) 378-700019 Bradhurst Avenue Suite 2500NHawthorne NY 10532 (914) 592-0440280 Mamaroneck Avenue Suite 30White Plains NY 10605 (914) 949-741719 Bradhurst Avenue Suite 2500NHawthorne NY 10532 (914) 592-0440107 South Broadway Yonkers NY 10701 (914) 378-7848501 Pelham Rd New Rochelle NY 10805 (914) 636-3042One North Street Hastings On HudNY 10706 (914) 478-2504275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 925-5570275 North Street Harrison NY 10528 (914) 967-6500333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-9213970 North Broadway Suite 101 Yonkers NY 10701 (914) 969-1600970 North Broadway Suite 101 Yonkers NY 10701 (914) 969-160075 South Broadway Yonkers NY 10704 (646) 580-91181 Bridge Street Ardsley NY 10502 (914) 693-8787127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7471Munger Pavilion Suite 306 Valhalla NY 10595 (914) 594-483052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-2220
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
52 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-222052 Main Street Bedford Hills NY 10507 (914) 666-22203 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-11993 Barker Avenue - 4th Floor White Plains NY 10601 (914) 949-1199127 South Broadway Yonkers NY 10701 (914) 378-7708127 South Broadway Yonkers NY 10701 (914) 378-7708100 Route 59, Suite 105 Suffern NY 10901 (845) 357-5775127 South Broadway Yonkers NY 10701 (914) 378-7708100 Route 59, Suite 105 Suffern NY 10901 (845) 357-5775100 Route 59, Suite 105 Suffern NY 10901 (845) 357-5775127 South Broadway Yonkers NY 10701 (914) 378-7708100 Route 59, Suite 105 Suffern NY 10901 (845) 357-5775100 Route 59, Suite 105 Suffern NY 10901 (845) 357-57753050 Corlear Avenue, Suite 201 Bronx NY 10463 (718) 543-270081 South Broadway Yonkers NY 10701 (914) 375-3200
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
415 South Broadway Yonkers NY 10701 (914) 623-5400415 South Broadway Yonkers NY 10705 (914) 623-5400127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-700081 South Broadway Yonkers NY 10701 (914) 375-3200127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7471127 South Broadway Yonkers NY 10701 (914) 378-7583127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (917) 541-4134127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7160127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 718-683-1709127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (516) 572-6990127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7160127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7586127 South Broadway Yonkers NY 10701 (914) 378-7000127 South Broadway Yonkers NY 10701 (914) 378-7000
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
127 South Broadway Yonkers NY 10701 (914) 378-700032 Hyatt Avenue Yonkers NY 10704 (914) 237-828232 Hyatt Avenue Yonkers NY 10704 (914) 237-828232 Hyatt Avenue Yonkers NY 10704 (914) 237-8282970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-1543970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-1543970 North Broadway Suite 212 Yonkers NY 10701 (914) 376-154381 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 32375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-320081 South Broadway Yonkers NY 10701 (914) 375-3200127 South Broadway Yonkers NY 10701 (914) 378-7583275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 20528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500275 North Street Harrison NY 10528 (914) 967-6500469 North Broadway Yonkers NY 10701 (914) 969-1115469 North Broadway Yonkers NY 10701 (914) 969-1115469 North Broadway Yonkers NY 10701 (914) 969-1115
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
469 North Broadway Yonkers NY 10701 (914) 969-1115970 North Broadway Suite 207 Yonkers NY 10701 (914) 966-0505970 North Broadway Suite107 Yonkers NY 10701 (914) 966-0505970 North Broadway Suite107 Yonkers NY 10701 (914) 966-0505127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-7100127 South Broadway, Room 419 Yonkers NY 10701 (914) 378-710030 South Broadway Yonkers NY 10701 (914) 968-489830 South Broadway Yonkers NY 10701 (914) 968-4898127 South Broadway Yonkers NY 10701 (914) 378-7601127 South Broadway Yonkers NY 10701 (914) 378-7601116 Fifth Avenue Pelham NY 10803 (914) 738-0005472 Palmer Road Yonkers NY 10701 (914) 375-2300955 Yonkers Avenue Suite B 11 Yonkers NY 10704 (914) 237-0994984 North Broadway, Suite 501 Yonkers NY 10701 (914) 965-2606Division of Adolescent Medicine Valhalla NY 10595 (914) 594-3335944 North Broadway Suite G6 Yonkers NY 10701 (914) 378-0271600 Mamaroneck Avenue Suite 10Harrison NY 10528 (914) 948-4277510 North Broadway White Plains NY 10603 (914) 946-85251234 Central Park Avenue Suite 3 Yonkers NY 10710 (914) 961-7212915 Palmer Road Bronxville NY 10708 (914) 793-6900337 Kimball Avenue Yonkers NY 10704 (914) 338-7534102 Park Avenue Yonkers NY 10703 (914) 968-1611600 Mamaroneck Avenue, Suite 10Harrison NY 10528 (914) 686-0111626 McLean Avenue Yonkers NY 10705 (914) 423-88081915-25 Central Park Avenue Yonkers NY 10710 (914) 793-21001 Theall Road Rye 10580 (914) 848-8750970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635970 North Broadway Suite 309 Yonkers NY 10701 (914) 207-0004944 North Broadway Suite 201 Yonkers NY 10701 (914) 476-1520
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
45 Midland Terrace Yonkers NY 10705 (914) 965-7002127 South Broadway Yonkers NY 10701 (914) 378-7000110 Lockwood Avenue Suite202 New Rochelle NY 10801 (914) 633-7200970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-3366136 South Broadway Yonkers NY 10701 (914) 965-6655970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635984 N. Broadway Suite 407 Yonkers NY 10701 (914) 965-8100970 N. Broadway Suite 204 Yonkers NY 10701 (914) 476-4343100 East 1st Sreet Mount Vernon NY 10550 (914) 363-15001034 North Broadway, 2nd Floor Yonkers NY 10701 (914) 375-5700970 North Broadway Suite 305B Yonkers NY 10701 (914) 375-6400102 Park Avenue Yonkers NY 10703 (914) 751-35241915-25 Central Park Avenue Yonkers NY 10710 (914) 793-2100970 North Broadway Suite 312 Yonkers NY 10701 (914) 968-4695102 Park Avenue Yonkers NY 10703 (914) 751-3121750 McLean Avenue Yonkers NY 10704 (914) 803-0310750 McLean Avenue Yonkers NY 10704 (914) 237-8686105 Stevens Avenue Suite 106 Mount Vernon NY 10550 (914) 667-30306 Xavier Drive Suite 710 Yonkers NY 10704 (914) 376-2273615 Broadway Suite 7 Hastings On HudNY 10706 (914) 478-8585955 Yonkers Avenue Suite 103 Yonkers NY 10704 (914) 237-472045 Ludlow Street Suite 700 Yonkers NY 10701105 Stevens Avenue Suite 109 Mount Vernon NY 10550 (914) 664-7311260 South Broadway Yonkers NY 10705 (914) 965-9700984 N. Broadway Suite 401A Yonkers NY 10701 (914) 965-8866970 N. Broadway Suite 204 Yonkers NY 10701 (914) 476-4343984 North Broadway Suite 511 Yonkers NY 10701 (914) 965-2526970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-36352 Summerland Lane Briarcliff Manor NY 10510 (914) 762-7696102 Park Avenue Yonkers NY 10703 (914) 376-37701055 Saw Mill River Road Suite 10Ardsley NY 10502 (914) 693-7636984 North Broadway Yonkers NY 10701 (914) 476-0650115 Main Street, Suite 305 Tuckahoe NY 10707 (914) 793-0996876-880 Mile Square Road 2nd FloYonkers NY 10704 (914) 207-760050 Sanatorium Road Bldg D Pomona NY 10970 (845) 364-842810 Kenilworth Lane Suite 409 Rye NY 10580 (914) 524-8837
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-9213333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-9213333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-9213102 Park Avenue Yonkers NY 10703 (914) 423-186624 Crisfield Street Yonkers NY 10710 (914) 779-1212770B McLean Avenue Yonkers NY 10704 (914) 237-3636970 N. Broadway Suite 204 Yonkers NY 10701 (914) 476-4343970 North Broadway Suite107 Yonkers NY 10701 (914) 966-0505105 Stevens Avenue, Suite 609 Mount Vernon NY 10550 (914) 663-6663944 North Broadway Suite102 Yonkers NY 10701 (914) 423-8118One West Avenue Suite 215 Larchmont NY 10538 (914) 834-4379915 Palmer Road Bronxville NY 10708 (914) 793-69002242 Central Park Avenue Yonkers NY 10710 (914) 793-7111147 Park Avenue Yonkers NY 10703 (914) 375-4433944 North Broadway Suite102 Yonkers NY 10701 (914) 423-8118970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635944 N. Broadway, Suite 208 Yonkers NY 10701 (914) 966-1426333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-92131200 Brown Street Peekskill NY 10566 (914) 734-8600944 North Broadway Suite 207 Yonkers NY 10701 (914) 969-66771915-25 Central Park Avenue Yonkers NY 10710 (914) 793-2100Munger Pavilion Rm 129 Valhalla NY 10595 (914) 594-3335107 West 4th Street Mount Vernon NY 10550 (914) 699-7200984 N. Broadway Suite 407 Yonkers NY 10701 (914) 965-8100970 North Broadway Suite107 Yonkers NY 10701 (914) 966-050518 Linden Avenue Larchmont NY 10538 (914) 834-34701019 Yonkers Avenue Yonkers NY 10704 (914) 237-1941102 Park Avenue Yonkers NY 10701 (914) 965-43002422 Central Park Avenue Yonkers NY 10710 (914) 885-2500970 North Broadway Suite 311 Yonkers NY 10701 (914) 969-3635984 North Broadway, Suite 501 Yonkers NY 10701 (914) 965-2606100 Route 59, Suite 105 Suffern NY 10901 (845) 357-577565 Hampden Lane Irvington NY 10533 (914) 591-3271657 Yonkers Avenue Yonkers NY 10704 (914) 476-88551165 Park Avenue New York NY 10128 (212) 427-75001915-25 Central Park Avenue Yonkers NY 10710 (914) 793-2100
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-33661055 Saw Mill River Road Suite 10Ardsley NY 10502 (914) 693-7636984 North Broadway Suite 314 Yonkers NY 10701 (914) 643-3879984 North Broadway Suite 314 Yonkers NY 10701 (914) 709-0659136 South Broadway Yonkers NY 10701 (914) 965-0621280 North Central Avenue Hartsdale NY 10530 (914) 761-6633127 South Broadway Yonkers NY 10701 (212) 942-3830205 DeVoe Avenue Yonkers NY 10705 (914) 963-35031730 Central Park Avenue Yonkers NY 10710 (914) 779-014133 Cedar Street Suite 3 Rye NY 10580 (914) 481-5106136 South Broadway Yonkers NY 10701 (914) 965-062119 Bradhurst Avenue Suite 2550 Hawthorne NY 10532 (914) 761-5437626 McLean Avenue Yonkers NY 10701 (914) 423-5000301 North Main Street New City NY 10956 (845) 638-0800102 Park Avenue Yonkers NY 10701 (914) 965-4300944 North Broadway Suite G6 Yonkers NY 10701 (914) 378-1000140 Elm Street Yonkers NY 10701 (914) 375-5206909 Midland Avenue Yonkers NY 10704 (914) 376-7000105 Stevens Avenue Suite 106 Mount Vernon NY 10550 (914) 667-30301600 Harrison Avenue Mamaroneck NY 10543 (914) 698-8106970 North Broadway Suite 209 Yonkers NY 10701 (914) 423-8517685 White Plains Road Eastchester NY 10709 914-787-410726 West 9th Street Suite 8E New York NY 10014 (212) 505-59831034 North Broadway, Unit 2D Yonkers NY 10701 (914) 327-4433623 Warburton Avenue Hastings On HudNY 10706 (914) 478-3001127 South Broadway Yonkers NY 10701 (914) 378-7000970 North Broadway Suite 310 Yonkers NY 10701 (914) 966-1426955 Yonkers Avenue Suite 17 Yonkers NY 10704 (914) 237-6002970 North Broadway Suite107 Yonkers NY 10701 (914) 966-0505970 N. Broadway Suite 204 Yonkers NY 10701 (914) 476-4343944 North Broadway Suite102 Yonkers NY 10701 (914) 423-811845 Ludlow Street Yonkers NY 10705 (914) 963-3232984 North Broadway, Suite 501 Yonkers NY 10701 (914) 965-2606970 North Broadway Suite 110 Yonkers NY 10701 (212) 659-9479333 Westchester Ave Suite E 104 White Plains NY 10607 (914) 428-9213970 North Broadway Suite 101 Yonkers NY 10701 (914) 969-1600
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1600 Harrison Avenue, Suite 105AMamaroneck NY 10543 (914) 698-3018970 North Broadway Suite 207 Yonkers NY 10701 (914) 376-58281730 Central Park Avenue Yonkers NY 10710 (914) 779-0141785 Mamaroneck Avenue White Plains NY 10605 (914) 597-2836136 South Broadway Yonkers NY 10701 (914) 965-0621Munger Pavilion Rm 129 Valhalla NY 10595 (914) 594-3335127 South Broadway Room 406 Yonkers NY 10701 (914) 968-5446970 North Broadway Suite 209 Yonkers NY 10701 (914) 965-336697 Route 303 Tappan NY 10983-25Denise Zbar-Highland Medical845-348-298597 Route 303 Tappan NY 10983-25Denise Zbar-Highland Medical845-348-2985206 Route 303 Valley Cottage NY 10989-20Denise Zbar-Highland Medical845-348-2985206 Route 303 Valley Cottage NY 10989-20Denise Zbar-Highland Medical845-348-2985206 Route 303 Valley Cottage NY 10989-20Denise Zbar-Highland Medical845-348-29851 Crosfield Ave. Suite 105 West Nyack NY 10994-22Denise Zbar-Highland Medical845-348-29851 Crosfield Ave. Suite 105 West Nyack NY 10994-22Denise Zbar-Highland Medical845-348-29851 Crosfield Ave. Suite 105 West Nyack NY 10994-22Denise Zbar-Highland Medical845-348-29851 Crosfield Ave. Suite 105 West Nyack NY 10994-22Denise Zbar-Highland Medical845-348-29851 Crosfield Ave. Suite 105 West Nyack NY 10994-22Denise Zbar-Highland Medical845-348-298546 North Boradway Nyack NY 10960-26Denise Zbar-Highland Medical845-348-2985974 Route 45, Suite 1200 Pomona NY 10970-35Denise Zbar-Highland Medical845-348-2985200 East Eckerson Ave. Suite 160 New City NY 10956-71Denise Zbar-Highland Medical845-348-2985200 East Eckerson Ave. Suite 160 New City NY 10956-71Denise Zbar-Highland Medical845-348-2985200 East Eckerson Ave. Suite 160 New City NY 10956-71Denise Zbar-Highland Medical845-348-2985200 East Eckerson Ave. Suite 160 New City NY 10956-71Denise Zbar-Highland Medical845-348-2985275 N. Middletown Rd. Suite 1F Pearl River NY 10965-11Denise Zbar-Highland Medical845-348-2985255 Fifth Ave. Nyack NY 10960-18Denise Zbar-Highland Medical845-348-2985255 Fifth Ave. Nyack NY 10960-18Denise Zbar-Highland Medical845-348-2985255 Fifth Ave. Nyack NY 10960-18Denise Zbar-Highland Medical845-348-2985255 Fifth Ave. Nyack NY 10960-18Denise Zbar-Highland Medical845-348-2985255 Fifth Ave. Nyack NY 10960-18Denise Zbar-Highland Medical845-348-2985160 North Midland Ave. Nyack NY 10960-19Denise Zbar-Highland Medical845-348-2985275 N. Middletown Rd. Suite 1F Pearl River NY 10965-11Denise Zbar-Highland Medical845-348-2985939 Little Britain Road New Windsor NY 12553 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-1188939 Little Britain Road New Windsor NY 12553 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-1188
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
60 Merritt Blvd Fishkill NY 12524 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-118860 Merritt Blvd Fishkill NY 12524 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-118828 Springbrook Park Rhinebeck NY 12572 Monica Scavone 845-473-1188939 Little Britain Road New Windsor NY 12553 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-1188939 Little Britain Road New Windsor NY 12553 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-118860 Merritt Blvd Fishkill NY 12524 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-1188939 Little Britain Road New Windsor NY 12553 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881 Columbia Street Poughkeepsie NY 12601 Monica Scavone 845-473-11881101 Main Street Peekskill New York 10566 Alan Trager 914-761-06006 Gramatan Avenue Mt. Vernon New York 10550 Alan Trager 914-761-06006 Gramatan Avenue Mt. Vernon New York 10550 Alan Trager 914-761-0600487 South Broadway Yonkers New York 10705 Alan Trager 914-761-0600487 South Broadway Yonkers New York 10705 Alan Trager 914-761-0600141 North Central Avenue Hartsdale New York 10530 Alan Trager 914-761-0600487 South Broadway Yonkers New York 10705 Alan Trager 914-761-0600141 North Central Avenue Hartsdale New York 10530 Alan Trager 914-761-0600141 North Central Avenue Hartsdale New York 10530 Alan Trager 914-761-0600487 South Broadway Yonkers New York 10705 Alan Trager 914-761-06001101 Main Street Peekskill New York 10566 Alan Trager 914-761-06001 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-5009
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-5009600 StonyBrook Court Newburgh NY 12550 Lorraine O'Donnell 845-437-5009600 StonyBrook Court Newburgh NY 12550 Lorraine O'Donnell 845-437-5009600 StonyBrook Court Newburgh NY 12550 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-5009600 StonyBrook Court Newburgh NY 12550 Lorraine O'Donnell 845-437-50091 Columbia Street, Suite 390 Poughkeepsie NY 12601 Lorraine O'Donnell 845-437-5009Box 98 Callicoon NY 12723 Nancy McGraw (845) 292-5910427 Broadway Suite 1 Monticello NY 12701 Nancy McGraw (845) 292-5910720 White Plains Road Scarsdale NY 10583 (914) 831-4170210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 681-3100720 White Plains Road Scarsdale NY 10583 (914) 831-4170210 Westchester Ave White Plains NY 10604 (914) 682-0731210 Westchester Ave White Plains NY 10604 (914) 682-6540210 Westchester Ave White Plains NY 10604 (914) 848-804033 Davis Avenue White Plains NY 10605 (914) 831-2900210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 682-654073 Market Street Yonkers NY 10710 (914) 607-473073 Market Street Yonkers NY 10710 (914) 848-808573 Market Street Yonkers NY 10710 (914) 831-6830210 Westchester Ave White Plains NY 10604 (914) 682-073173 Market Street Yonkers NY 10710 (914) 831-6880210 Westchester Ave White Plains NY 10604 (914) 682-07311 Theall Road Rye NY 10580 (914) 848-8840210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 682-6408210 Westchester Ave White Plains NY 10604 (914) 682-6470210 Westchester Ave White Plains NY 10604 (914) 682-6470210 Westchester Ave White Plains NY 10604 (914) 682-0731
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
210 Westchester Ave White Plains NY 10604 (914) 682-644033 Davis Avenue White Plains NY 10605 (914) 831-2943210 Westchester Ave White Plains NY 10604 (914) 682-6470210 Westchester Ave White Plains NY 10604 (914) 831-681373 Market Street Yonkers NY 10710 (914) 831-416073 Market Street Yonkers NY 10710 (914) 831-68301 Theall Road Rye NY 10580 (914) 848-8800210 Westchester Ave White Plains NY 10604 (914) 681-310073 Market Street Yonkers NY 10710 (914) 848-808573 Market Street Yonkers NY 10710 (914) 848-8030210 Westchester Ave White Plains NY 10604 (914) 682-07311 Theall Road Rye NY 10580 (914) 848-8800210 Westchester Ave White Plains NY 10604 (914) 681-310073 Market Street Yonkers NY 10710 (914) 305-2725210 Westchester Ave White Plains NY 10604 (914) 681-31001 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 682-6557210 Westchester Ave White Plains NY 10604 (914) 682-6557210 Westchester Ave White Plains NY 10604 (914) 682-64401 Theall Road Rye NY 10580 (914) 848-88001 Theall Road Rye NY 10580 (914) 848-8870210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 681-310073 Market Street Yonkers NY 10710 (914) 848-8085210 Westchester Ave White Plains NY 10604 (914) 682-073173 Market Street Yonkers NY 10710 (914) 831-4160210 Westchester Ave White Plains NY 10604 (914) 305-2700210 Westchester Ave White Plains NY 10604 (914) 682-07321 Theall Road Rye NY 10580 (914) 848-88001 Theall Road Rye NY 10580 (914) 848-8835210 Westchester Ave White Plains NY 10604 (914) 831-6850210 Westchester Ave White Plains NY 10604 (914) 682-653273 Market Street Yonkers NY 10710 (914) 848-80291230 Mamaroneck Ave White Plains NY 10604 (914) 948-1020210 Westchester Ave White Plains NY 10604 (914) 848-804073 Market Street Yonkers NY 10710 (914) 848-8085
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
73 Market Street Yonkers NY 10710 (914) 848-80851 Theall Road Rye NY 10580 (914) 848-87771 Theall Road Rye NY 10580 (914) 848-89001 Theall Road Rye NY 10580 (914) 848-870073 Market Street Yonkers NY 10710 (914) 831-29701 Theall Road Rye NY 10580 (914) 848-87771230 Mamaroneck Ave White Plains NY 10604 (914) 948-1020171 Huguenot Street New Rochelle NY 10801 (914) 607-472073 Market Street Yonkers NY 10710 (914) 831-6820210 Westchester Ave White Plains NY 10604 (914) 831-6800210 Westchester Ave White Plains NY 10604 (914) 682-65111 Theall Road Rye NY 10580 (914) 848-8800210 Westchester Ave White Plains NY 10604 (914) 681-31001 Theall Road Rye NY 10580 (914) 848-89991 Theall Road Rye NY 10580 (914) 848-8950210 Westchester Ave White Plains NY 10604 (914) 681-52003020 Westchester Avenue Purchase NY 10604 (914) 831-410073 Market Street Yonkers NY 10710 (914) 831-683073 Market Street Yonkers NY 10710 (914) 831-6820210 Westchester Ave White Plains NY 10604 (914) 305-270033 Davis Avenue White Plains NY 10605 (914) 831-29001 Theall Road Rye NY 10580 (914) 848-896073 Market Street Yonkers NY 10710 (914) 831-68801 Theall Road Rye NY 10580 (914) 848-8750210 Westchester Ave White Plains NY 10604 (914) 682-6511210 Westchester Ave White Plains NY 10604 (914) 682-65321 Theall Road Rye NY 10580 (914) 848-8960210 Westchester Ave White Plains NY 10604 (914) 682-6466210 Westchester Ave White Plains NY 10604 (914) 682-651173 Market Street Yonkers NY 10710 (914) 831-6880171 Huguenot Street New Rochelle NY 10801 (914) 607-4720210 Westchester Ave White Plains NY 10604 (914) 305-2700210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 848-8040210 Westchester Ave White Plains NY 10604 (914) 848-8040210 Westchester Ave White Plains NY 10604 (914) 682-6430
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
171 Huguenot Street New Rochelle NY 10801 (914) 305-27251 Theall Road Rye NY 10580 (914) 848-87001 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 305-27251 Theall Road Rye NY 10580 (914) 848-8800210 Westchester Ave White Plains NY 10604 (914) 682-6430210 Westchester Ave White Plains NY 10604 (914)848-804073 Market Street Yonkers NY 10710 (914) 831-41601 Theall Road Rye NY 10580 (914) 848-880073 Market Street Yonkers NY 10710 (914) 831-6880171 Huguenot Street New Rochelle NY 10801 (914) 607-47201 Theall Road Rye NY 10580 (914) 848-899973 Market Street Yonkers NY 10710 (914) 305-27301 Theall Road Rye NY 10580 (914) 848-8870210 Westchester Ave White Plains NY 10604 (914) 681-310073 Market Street Yonkers NY 10710 (914) 848-808573 Market Street Yonkers NY 10710 (914) 831-6880210 Westchester Ave White Plains NY 10604 (914) 682-6466210 Westchester Ave White Plains NY 10604 (914) 848-80401 Theall Road Rye NY 10580 (914) 848-870073 Market Street Yonkers NY 10710 (914) 831-6830720 White Plains Road Scarsdale NY 10583 (914) 831-417073 Market Street Yonkers NY 10710 (914) 607-4730210 Westchester Ave White Plains NY 10604 (914) 682-65321 Theall Road Rye NY 10580 (914) 848-8840210 Westchester Ave White Plains NY 10604 (914) 682-646673 Market Street Yonkers NY 10710 (914) 848-8030210 Westchester Ave White Plains NY 10604 (914) 831-68001 Theall Road Rye NY 10580 (914) 848-870073 Market Street Yonkers NY 10710 (914) 848-80851 Theall Road Rye NY 10580 (914) 848-8960210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 848-8040210 Westchester Ave White Plains NY 10604 (914) 682-6440210 Westchester Ave White Plains NY 10604 (914) 682-644073 Market Street Yonkers NY 10710 (914) 682-6560
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
210 Westchester Ave White Plains NY 10604 (914) 607-5880210 Westchester Ave White Plains NY 10604 (914) 682-653273 Market Street Yonkers NY 10710 (914) 848-804073 Market Street Yonkers NY 10710 (914) 607-4730171 Huguenot Street New Rochelle NY 10801 (914) 607-5820720 White Plains Road Scarsdale NY 10583 (914) 831-4170210 Westchester Ave White Plains NY 10604 (914) 682-6511210 Westchester Ave White Plains NY 10604 (914) 682-644073 Market Street Yonkers NY 10710 (914) 305-2720210 Westchester Ave White Plains NY 10604 (914) 831-680073 Market Street Yonkers NY 10710 (914) 848-80403020 Westchester Avenue Purchase NY 10604 (914) 682-64543020 Westchester Avenue Purchase NY 10604 (914) 682-6454210 Westchester Ave White Plains NY 10604 (914) 682-6440210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 682-6557244 Westchester Ave White Plains NY 10604 (914) 946-9444171 Huguenot Street New Rochelle NY 10801 (914) 607-582073 Market Street Yonkers NY 10710 (914) 848-8085210 Westchester Ave White Plains NY 10604 (914) 831-6813171 Huguenot Street New Rochelle NY 10801 (914) 607-5820210 Westchester Ave White Plains NY 10604 (914) 831-68131 Theall Road Rye NY 10580 (914) 848-87691 Theall Road Rye NY 10580 (914) 848-88003020 Westchester Avenue Purchase NY 10604 (914) 831-4100210 Westchester Ave White Plains NY 10604 (914) 305-27252 Overhill Road Scarsdale NY 10583 (914) 725-1800171 Huguenot Street New Rochelle NY 10801 (914) 607-4720171 Huguenot Street New Rochelle NY 10801 (914) 607-4720210 Westchester Ave White Plains NY 10604 (914) 831-68003020 Westchester Avenue Purchase NY 10604 (914) 831-41001 Theall Road Rye NY 10580 (914) 848-8900171 Huguenot Street New Rochelle NY 10801 (914) 305-2725171 Huguenot Street New Rochelle NY 10801 (914) 305-2725210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 682-6466
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 682-6540210 Westchester Ave White Plains NY 10604 (914) 831-6800210 Westchester Ave White Plains NY 10604 (914) 831-6850210 Westchester Ave White Plains NY 10604 (914) 831-6800210 Westchester Ave White Plains NY 10604 (914) 682-651173 Market Street Yonkers NY 10710 (914) 848-803073 Market Street Yonkers NY 10710 (914) 831-6880720 White Plains Road Scarsdale NY 10583 (914) 831-4170171 Huguenot Street New Rochelle NY 10801 (914) 607-5820210 Westchester Ave White Plains NY 10604 (914) 681-31003020 Westchester Avenue Purchase NY 10604 (914) 682-6454210 Westchester Ave White Plains NY 10604 (914) 682-64261 Theall Road Rye NY 10580 (914) 848-895073 Market Street Yonkers NY 10710 (914) 848-8085210 Westchester Ave White Plains NY 10604 (914) 682-65321 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 831-68133020 Westchester Avenue Purchase NY 10604 (914) 682-645473 Market Street Yonkers NY 10710 (914) 848-80501 Theall Road Rye NY 10580 (914) 848-88002 Overhill Road Scarsdale NY 10583 (914) 725-1800210 Westchester Ave White Plains NY 10604 (914) 682-653273 Market Street Yonkers NY 10710 (914) 607-47301 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 682-6540210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 682-651173 Market Street Yonkers NY 10710 (914) 848-8960210 Westchester Ave White Plains NY 10604 (914) 681-31001 Theall Road Rye NY 10580 (914) 848-8777210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 682-65321 Theall Road Rye NY 10580 (914) 848-8750
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
2 Overhill Road Scarsdale NY 10583 (914) 725-1800720 White Plains Road Scarsdale NY 10583 (914) 831-41701 Theall Road Rye NY 10580 (914) 848-8760210 Westchester Ave White Plains NY 10604 (914) 682-6430210 Westchester Ave White Plains NY 10604 (914) 831-4150210 Westchester Ave White Plains NY 10604 (914) 682-0731210 Westchester Ave White Plains NY 10604 (914) 682-6540210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 681-310033 Davis Avenue White Plains NY 10605 (914) 831-2900171 Huguenot Street New Rochelle NY 10801 (914) 607-4720210 Westchester Ave White Plains NY 10604 (914) 682-073173 Market Street Yonkers NY 10710 (914) 848-8040210 Westchester Ave White Plains NY 10604 (914) 848-80701 Theall Road Rye NY 10580 (914) 848-87001 Theall Road Rye NY 10580 (914) 848-8700210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 682-073173 Market Street Yonkers NY 10710 (914) 848-808573 Market Street Yonkers NY 10710 (914) 848-8085210 Westchester Ave White Plains NY 10604 (914) 682-64261 Theall Road Rye NY 10580 (914) 848-8750210 Westchester Ave White Plains NY 10604 (914) 681-520073 Market Street Yonkers NY 10710 (914) 831-2970210 Westchester Ave White Plains NY 10604 (914) 682-65321 Theall Road Rye NY 10580 (914) 848-8900210 Westchester Ave White Plains NY 10604 (914) 682-0731210 Westchester Ave White Plains NY 10604 (914) 682-653273 Market Street Yonkers NY 10710 (914) 848-80703020 Westchester Avenue Purchase NY 10604 (914) 831-41001 Theall Road Rye NY 10580 (914) 848-880073 Market Street Yonkers NY 10710 (914) 848-8085210 Westchester Ave White Plains NY 10604 (914) 682-0731
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
210 Westchester Ave White Plains NY 10604 (914) 848-80701 Theall Road Rye NY 10580 (914) 848-8777210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 681-3100210 Westchester Ave White Plains NY 10604 (914) 305-27003020 Westchester Avenue Purchase NY 10604 (914) 831-410073 Market Street Yonkers NY 10710 (914) 831-29701 Theall Road Rye NY 10580 (914) 848-8950210 Westchester Ave White Plains NY 10604 (914) 682-6430210 Westchester Ave White Plains NY 10604 (914) 831-4150171 Huguenot Street New Rochelle NY 10801 (914) 305-2725210 Westchester Ave White Plains NY 10604 (914) 682-0731210 Westchester Ave White Plains NY 10604 (914) 681-310073 Market Street Yonkers NY 10710 (914) 848-80851 Theall Road Rye NY 10580 (914) 848-8880244 Westchester Ave White Plains NY 10604 (914) 946-9444210 Westchester Ave White Plains NY 10604 (914) 682-073173 Market Street Yonkers NY 10710 (914) 831-6820210 Westchester Ave White Plains NY 10604 (914) 682-6532210 Westchester Ave White Plains NY 10604 (914) 682-0732210 Westchester Ave White Plains NY 10604 (914) 682-6560210 Westchester Ave White Plains NY 10604 (914) 682-0731210 Westchester Ave White Plains NY 10604 (914) 682-646673 Market Street Yonkers NY 10710 (914) 607-4730210 Westchester Ave White Plains NY 10604 (914) 831-4150210 Westchester Ave White Plains NY 10604 (914) 682-6440171 Huguenot Street New Rochelle NY 10801 (914) 607-4720210 Westchester Ave White Plains NY 10604 (914) 831-680073 Market Street Yonkers NY 10710 (914) 858-805073 Market Street Yonkers NY 10710 (914) 831-6830210 Westchester Ave White Plains NY 10604 (914) 682-6426171 Huguenot Street New Rochelle NY 10801 (914) 305-272573 Market Street Yonkers NY 10710 (914) 858-805073 Market Street Yonkers NY 10710 (914) 848-8050210 Westchester Ave White Plains NY 10604 (914) 831-4150210 Westchester Ave White Plains NY 10604 (914) 682-6557
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
210 Westchester Ave White Plains NY 10604 (914) 682-6430210 Westchester Ave White Plains NY 10604 (914) 681-520073 Market Street Yonkers NY 10710 (914) 848-8040210 Westchester Ave White Plains NY 10604 (914) 682-0732210 Westchester Ave White Plains NY 10604 (914) 682-6511210 Westchester Ave White Plains NY 10604 (914) 305-2700210 Westchester Ave White Plains NY 10604 (914) 831-680073 Market Street Yonkers NY 10710 (914) 848-8085171 Huguenot Street New Rochelle NY 10801 (914) 607-5820210 Westchester Ave White Plains NY 10604 (914) 682-6426171 Huguenot Street New Rochelle NY 10801 (914) 305-2725210 Westchester Ave White Plains NY 10604 (914) 682-6408210 Westchester Ave White Plains NY 10604 (914) 682-6560210 Westchester Ave White Plains NY 10604 (914) 681-31001 Theall Road Rye NY 10580 (914) 682-6557Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601311 North Street White Plains NY 1060517 Valeria Circle North Salem NY 10560Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106011296 North Avenue-2nd floor New Rochelle NY 10804Davis Avenue at E. Post Road White Plains NY 106014 Lyon Place White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 10604170 Maple Ave, Suite 502 White Plains NY 1060133 Davis Avenue White Plains NY 10601
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 1060145 Topland Road Hartsdale NY 1053015 North Broadway White Plains NY 106011296 North Avenue-2nd floor New Rochelle NY 108041 Theall Road Rye NY 10580111 South Ridge Street Rye Brook NY 10573170 Maple Ave, Suite 502 White Plains NY 106011296 North Avenue-2nd floor New Rochelle NY 108041296 North Avenue, 2nd Floor New Rochelle NY 10804Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 106041296 North Avenue, Suite 104 New Rochelle NY 10804785 Mamaroneck Ave White Plains NY 1060533 Davis Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106011296 North Avenue-2nd floor New Rochelle NY 108042-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106011296 North Avenue, 2nd Floor New Rochelle NY 1080415 North Broadway White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 1060115 North Broadway White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012071 Boston Post Road Larchmont NY 10538Davis Avenue at E. Post Road White Plains NY 1060115 North Broadway White Plains NY 10601170 Maple Avenue, Suite 501 White Plains NY 10601170 Maple Ave, Suite 502 White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 1060115 North Broadway White Plains NY 106012-4 Longview Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601170 Maple Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601170 Maple Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106012071 Boston Post Road Larchmont NY 10538Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601222 Westchester Avenue White Plains NY 10604Davis Avenue at E. Post Road White Plains NY 106014 Lyon Place White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601141 South Central Avenue Hartsdale NY 105304 Lyon Place White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601400 East Main Street Mount Kisco NY 10549111 South Ridge Street Rye Brook NY 10573Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
170 Maple Ave, Suite 502 White Plains NY 10601170 Maple Ave, Suite 502 White Plains NY 10601170 Maple Ave, Suite 502 White Plains NY 1060133 Davis Avenue White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 106011296 North Avenue-2nd floor New Rochelle NY 10804170 Maple Ave, Suite 502 White Plains NY 10601Davis Avenue at E. Post Road White Plains NY 10601244 Westchester Avenue White Plains NY 10604222 Westchester Avenue White Plains NY 1060416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445426 Oakley Street Poughkeepsie NY 12601 Amy Anderson-Winchell (845) 692-445421-23 Grand Street Newburgh NY 12550 Amy Anderson-Winchell (845) 692-445421-23 Grand Street Newburgh NY 12550 Amy Anderson-Winchell (845) 692-445421-23 Grand Street Newburgh NY 12550 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445416-24 Union Street Middletown NY 10940 Amy Anderson-Winchell (845) 692-445447 West Market Street Rhinebeck NY 12572 Amy Anderson-Winchell (845) 692-445475 Crystal Run Rd., Suite 135 Middletown NY 10940 845-333-757575 Crystal Run Rd., Suite 135 Middletown NY 10940 845-333-757575 Crystal Run Rd., Suite 135 Middletown NY 10940 845-333-7575707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000707 East Main Street Middletown NY 10940 845-333-1000
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
110 Crystal Run Road Middletown NY 10940 845-692-8085110 Crystal Run Road Middletown NY 10940 845-692-8085420 East Main Street Middletown NY 10940 845-342-530068 Harris Bushville Road, 1st Floo Harris NY 12742 845-791-782868 Harris Bushville Road, 1st Floo Harris NY 12742 845-791-782868 Harris Bushville Road, 4th FloorHarris NY 12742 845-794-330069 Harris Bushville Road, 4th FloorHarris NY 12742 845-794-330070 Harris Bushville Road, 4th FloorHarris NY 12742 845-794-330036 Pearl Street Livingston ManoNY 12758 845-439-357936 Pearl Street Livingston ManoNY 12758 845-439-357936 Pearl Street Livingston ManoNY 12758 845-439-357931 Springbrook Park 12572 Rhinebeck NY 12572 Michelle Brodhead 845-876-443245 Reade Place Poughkeepsie NY 12601 Zoppanya Fontenot 845-483-69204068 Albany Post Road Hyde Park NY 12538 Michelle Brodhead 845-876-443219 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-930019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93006511 Springbrook Ave Suite 10 Rhinebeck NY 12572 Carol Petrilli 845-790-93006511 Springbrook Ave Suite 10 Rhinebeck NY 12572 Carol Petrilli 845-790-930019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-930021 Fox St., Suite 103, Poughkeepsie NY 12601 John Mack 845-431-2400240 So. Riverside Drive Highland NY 12528 Michelle Brodhead 845-691-92004068 Albany Post Road Hyde Park NY 12538 Michelle Brodhead 845-229-212321 Reade Place, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-180055 Grand Street Kingston NY 12401 Susan Morse 845-339-87004068 Albany Post Road Hyde Park NY 12538 John MAck 845-229-2123 45 Reade Place Poughkeepsie NY 12601 Zoppanya Fontenot 845-483-69203652 Route 299, Suite 102 Highland NY 12528 Carol Petrilli 845-883-6883200 Westage Bus Ctr Drive, Suite Fishkill NY 12524 Michelle Brodhead 845-896-8786511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-423521 Fox Street, Suite 104 Poughkeepsie NY 12601 John Mack 845-431-240040 Hurley Avenue, Suite 18 Kingston NY 12401 Michelle Brodhead 845-338-018031 Springbrook Park Rhinebeck NY 12572 Michelle Brodhead 845-876-4432404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-527121 Reade Place, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-1800404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-527128 Front St.,PO Box 256 Millbrook NY 12545 Michelle Brodhead 845-677-8358
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
55 Grand Street Kingston NY 12401 Susan Morse 845-339-8700660 Stoneleigh Ave Putnam NY 10512 Terri Giorgio 845-278-55826511 Springbrook Avenue, The WoRhinebeck NY 12572 John Mack 845-871-3888240 South Riverside Road, PO BoxHighland NY 12528 Michelle Brodhead 845-691-920021 Reade Pl, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-190045 Reade Place Poughkeepsie NY 12601 Carol Petrilli 845-431-680040 Hurley Avenue, Suite 18 Kingston NY 12401 Michelle Brodhead 845-338-018028 Front St.,PO Box 256 Millbrook NY 12545 Michelle Brodhead 845-677-835855 Grand Street Kingston NY 12401 Susan Morse 845-339-8700240 So. Riverside Drive Highland NY 12528 Michelle Brodhead 845-691-920021 Fox St., Suite 103, Poughkeepsie NY 12601 John Mack 845-431-240019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-930045 Reade Place Poughkeepsie NY 12601 John Mack 845-483-650031 Springbrook Park Rhinebeck NY 12572 Michelle Brodhead 845-876-4432404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-527145 Reade Place Poughkeepsie NY 12601 John Mack 845-483-65001 Pine Street Poughkeepsie NY 12601 Michelle Brodhead 845-483-044719 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93004068 Albany Post Road Hyde Park NY 12538 Michelle Brodhead 845-229-212310 Healthy Way Ellenville NY 12428 Susan Morse 845-647-64009 Livingston St Suite 4S Poughkeepsie NY 12601 Terri Giorgio 845-483-6654404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-52716511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-423521 Reade Place, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-18006511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-4235240 South Riverside Road, PO BoxHighland NY 12528 Michelle Brodhead 845-691-920019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93006511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-423521 Reade Place, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-180019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93001100 Route 55 , Suite 100 Lagrangeville NY 12540 Michelle Brodhead 845-473-09741 Pine Street Poughkeepsie NY 12601 Michelle Brodhead 845-483-04479 Livingston St Suite 4S Poughkeepsie NY 12601 Terri Giorgio 845-483-6654404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-5271404 Zena Road Woodstock NY 12498 Michelle Brodhead 845-679-5271150 Rt 52 Carmel NY 10512 Michelle Brodhead 845-228-2910
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
6511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-423519 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93001 Columbia St., Suite 300 Poughkeepsie NY 12601 John MAck 845-483-01001 Columbia St., Suite 300 Poughkeepsie NY 12601 John MAck 845-483-0100200 Westage Business Center Dr, Fishkill NY 12524 Michelle Brodhead 845- 896-8784 40 Hurley Avenue, Suite 18 Kingston NY 12401 Michelle Brodhead 845-338-01801 Pine Street Highland NY 12601 Michelle Brodhead 845-483-044740 Hurley Avenue, Suite 18 Kingston NY 12401 Michelle Brodhead 845-338-018055 Grand Street Kingston NY 12401 Susan Morse 845-339-870019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93004068 Albany Post Rd Hyde Park NY 12538 John Mack 845-229-212321 Reade Place, Suite 3100 Poughkeepsie NY 12601 Kristy Detweiler 845-214-180019 Baker Ave Suite 302 Poughkeepsie NY 12601 Carol Petrilli 845-790-93006511 Springbrook Ave Suite 103 Rhinebeck NY 12572 Carol Petrilli 845-871-4235660 Stoneleigh Ave., Carmel NY 10512 Terri Giorgio 845-483-66546511 Springbrook Avenue, The WoRhinebeck NY 12572 John Mack 845-871-388845 Reade Place Poughkeepsie NY 12601 John Mack 845-483-650078 Maiden Lane Kingston NY 124014068 Albany Post Rd Hyde Park NY 12538 John Mack 845-229-21231100 Rt 55, Suite 101 lagrangeville NY 12540 Michelle Brodhead 845-473-0974660 Stoneleigh Ave., Carmel NY 10512 Terri Giorgio 845-483-66541 Columbia St., Suite 300 Poughkeepsie NY 12601 John MAck 845-483-010045 Reade Place Poughkeepsie NY 12601 John Mack 845-483-6500 19 Baker Ave Suite 302 Poughkeepsie NY 12601 Kristy Detweiler 845-214-18001037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-8543
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-8543
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-8543
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-8543
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
1037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-85431037 Main Street Peekskill New York 105660 Allison McGuire (914) 734-8543400 East Fordham Road Bronx NY 10458 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600One Echo Hill Dobbs Ferry NY 10522 Doug Waite, MD 914-693-0600400 East Fordham Road Bronx NY 10458 Doug Waite, MD 914-693-0600
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
IPA/Physician List
9 10 11 12 13 14
Address City State Zip Contact Name Phone #
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@montefiore.org
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DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@health-quest.org
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@HRHCARE.ORG
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@HRHCARE.ORG
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@HRHCARE.ORG
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@HRHCARE.ORG
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
[email protected]@[email protected]
1445 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
15 16
Extension Email
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.3 IPA/Physician List
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMIS
1 Omnicare of Chestnut Ridge (Medworld) Y 1497866503 14978665032 ChemRx LTC Pharmacy3456789
10111213141516171819202122232425262728293031323334353637
SN Qualified (Y/N)
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
38394041424344454647484950515253545556575859606162636465666768697071727374
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
75767778798081828384858687888990919293949596979899
100101102103104105106107108109110111
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
593594595596597598599600601602603604605606607608609610611612613614615616617618619620621622623624625626627628629
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
630631632633634635636637638639640641642643644645646647648649650651652653654655656657658659660661662663664665666
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
667668669670671672673674675676677678679680681682683684685686687688689690691692693694695696697698699700701702703
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
704705706707708709710711712713714715716717718719720721722723724725726727728729730731732733734735736737738739740
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
741742743744745746747748749750751752753754755756757758759760761762763764765766767768769770771772773774775776777
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
778779780781782783784785786787788789790791792793794795796797798799800801802803804805806807808809810811812813814
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
815816817818819820821822823824825826827828829830831832833834835836837838839840841842843844845846847848849850851
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
852853854855856857858859860861862863864865866867868869870871872873874875876877878879880881882883884885886887888
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
889890891892893894895896897898899900901902903904905906907908909910911912913914915916917918919920921922923924925
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
926927928929930931932933934935936937938939940941942943944945946947948949950951952953954955956957958959960961962
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
963964965966967968969970971972973974975976977978979980981982983984985986987988989990991992993994995996997998999
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1000100110021003100410051006100710081009101010111012101310141015101610171018101910201021102210231024102510261027102810291030103110321033103410351036
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1037103810391040104110421043104410451046104710481049105010511052105310541055105610571058105910601061106210631064106510661067106810691070107110721073
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1074107510761077107810791080108110821083108410851086108710881089109010911092109310941095109610971098109911001101110211031104110511061107110811091110
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1111111211131114111511161117111811191120112111221123112411251126112711281129113011311132113311341135113611371138113911401141114211431144114511461147
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1148114911501151115211531154115511561157115811591160116111621163116411651166116711681169117011711172117311741175117611771178117911801181118211831184
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1185118611871188118911901191119211931194119511961197119811991200120112021203120412051206120712081209121012111212121312141215121612171218121912201221
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1222122312241225122612271228122912301231123212331234123512361237123812391240124112421243124412451246124712481249125012511252125312541255125612571258
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1259126012611262126312641265126612671268126912701271127212731274127512761277127812791280128112821283128412851286128712881289129012911292129312941295
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1296129712981299130013011302130313041305130613071308130913101311131213131314131513161317131813191320132113221323132413251326132713281329133013311332
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1333133413351336133713381339134013411342134313441345134613471348134913501351135213531354135513561357135813591360136113621363136413651366136713681369
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1370137113721373137413751376137713781379138013811382138313841385138613871388138913901391139213931394139513961397139813991400140114021403140414051406
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1407140814091410141114121413141414151416141714181419142014211422142314241425142614271428142914301431143214331434143514361437143814391440144114421443
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1444144514461447144814491450145114521453145414551456145714581459146014611462146314641465146614671468146914701471147214731474147514761477147814791480
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1481148214831484148514861487148814891490149114921493149414951496149714981499150015011502150315041505150615071508150915101511151215131514151515161517
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1518151915201521152215231524152515261527152815291530153115321533153415351536153715381539154015411542154315441545154615471548154915501551155215531554
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1555155615571558155915601561156215631564156515661567156815691570157115721573157415751576157715781579158015811582158315841585158615871588158915901591
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1592159315941595159615971598159916001601160216031604160516061607160816091610161116121613161416151616161716181619162016211622162316241625162616271628
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1629163016311632163316341635163616371638163916401641164216431644164516461647164816491650165116521653165416551656165716581659166016611662166316641665
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1666166716681669167016711672167316741675167616771678167916801681168216831684168516861687168816891690169116921693169416951696169716981699170017011702
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1703170417051706170717081709171017111712171317141715171617171718171917201721172217231724172517261727172817291730173117321733173417351736173717381739
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1740174117421743174417451746174717481749175017511752175317541755175617571758175917601761176217631764176517661767176817691770177117721773177417751776
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1777177817791780178117821783178417851786178717881789179017911792179317941795179617971798179918001801180218031804180518061807180818091810181118121813
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1814181518161817181818191820182118221823182418251826182718281829183018311832183318341835183618371838183918401841184218431844184518461847184818491850
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1851185218531854185518561857185818591860186118621863186418651866186718681869187018711872187318741875187618771878187918801881188218831884188518861887
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1888188918901891189218931894189518961897189818991900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
1999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
2036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
2073207420752076207720782079208020812082208320842085208620872088208920902091209220932094209520962097209820992100210121022103210421052106210721082109
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
1 2 3 4
Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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DSRIP Project Design Grant Application Section 2.4 Pharmacy List
2.4) Pharmacy - Contact Information
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
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Pharmacy Name NPI MMISSN Qualified (Y/N)
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05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
023759 Rockland County 80 Red Schoolhouse Road Chestnut Ridge NYNassau 750 Park Pl Long Beach NY
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
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License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
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License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
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License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
5 6 7 8 10
License # County Address City State
05/05/2023 document.xlsx
DSRIP Project Design Grant Application Section 2.4 Pharmacy List
State of New York Department of HealthDelivery System Reform Incentive Payment (DSRIP) Program
Pharmacy List
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10977 Anne Marie Ciraco 516-659-6834 [email protected] Irien Moawad, R.Ph. 516-889-8770 114 [email protected]
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NYS DOH DSRIP_Project Design Grant Application Section 10 Section 10 - Project Advisory Committee (PAC)
Section 10Project Advisory Committee - PAC
10.1) How will the Project Advisory Committee assist the emerging Performing Provider System in the development of its DSRIP Project Plan? (Restricted to 4500 characters)Characters used: 2718
Each emerging Performing Provider System (PPS) is required to form a Project Advisory Committee (PAC). The PAC will advise emerging Performing Provider Systems on all elements of their DSRIP Project Plans and should include representation from each of the emerging PPS partners as well as workers and/or relevant unions. Unless an alternative structure is being proposed. Project Advisory Committee representatives should be determined using the following process:
1. Organizational representatives:a. Emerging PPS partners with more than 50 employees are required to have an organizational (managerial) representative participate in the PAC.b. Emerging PPS partners with less than 50 employees have the option of selecting an organizational (managerial) representative to participate in the PAC.
2. Worker representatives:a. Partner organizations that are not unionized and have over 50 employees must develop a process to elect a worker (non-managerial employee) representative to participate in the PAC. b. For non-unionized partner organizations with less than 50 employees, the employees have the option of electing a worker (non-managerial employee) representative to participate in the PAC if they so choose.
3. Union Representatives:a. Partner organizations that are unionized and have over 50 employees must designate a union representative to participate in the PAC. If a particular union represents workers from multiple emerging PPS partners, one representative from that union is sufficient to satisfy PAC requirements. b. For unionized partner organizations with less than 50 employees, the union has the option of designating a union representative to participate in the PAC if they so choose.
As described in greater detail in the next section, the HVDC will use an alternative project advisory committee structure broken out by geography: Westchester; Orange/Sullivan; Rockland; and a committee representing Dutchess, Ulster, and Putnam. The HVDC sees this PAC approach as the ideal structure to ensure that the DSRIP project plan best reflects local clinical needs and is tailored to meet the needs of smaller communities within counties; these groups may also promote more diverse and broad-based local participation than PACs organized by subject matter expertise alone.
Each regional PAC will be charged with the following responsibilities in order to assist in the development of the final project plan.
• Overseeing community health needs assessment activities within the region: Each PAC will develop a Community Health Needs Assessment (CHNA) subcommittee responsible for conducting data collection and stakeholder engagement within the locality. This information will feed into regional CHNAs that will ultimately be tied into a single HVDC CHNA, consolidated by the stakeholder engagement committee described in previous sections.
• Data analytics: the PAC will carefully evaluate metrics the state has outlined for individual DSRIP projects and compare those elements to community level metrics and results to inform project selection.
• Finalizing project selection and design, with a mind toward regional nuances that should inform implementation: The HVDC will rely upon the regional PACs to provide important local knowledge of community dynamics and sub-populations that will shape how projects are designed. For example, PACs may offer insights on primary languages used in the locality or how to adapt various types of interventions in a culturally sensitive manner.
• Offering expertise on how to operationalize projects at the local level: the PACs will provide insights on organizational and logistical hurdles that should be considered in the roll-out of HVDC projects.
• Providing feedback to make sure that workforce issues are considered: the PACs will include significant representation from union leadership and other workforce experts. The HVDC will rely upon the PACs to provide insights on how to ensure that local workforces are informed about the DSRIP project, how to best prepare local workforces (either through education or additional training) to work within new care delivery models, and strategies for recruitment of new workforce, as needed, to staff and support DSRIP projects.
Ultimately the PACs will come together to make project plan recommendations to the HVDC steering committee (described in the following section) to inform the final plan development.
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As described in greater detail in the next section, the HVDC will use an alternative project advisory committee structure broken out by geography: Westchester; Orange/Sullivan; Rockland; and a committee representing Dutchess, Ulster, and Putnam. The HVDC sees this PAC approach as the ideal structure to ensure that the DSRIP project plan best reflects local clinical needs and is tailored to meet the needs of smaller communities within counties; these groups may also promote more diverse and broad-based local participation than PACs organized by subject matter expertise alone.
Each regional PAC will be charged with the following responsibilities in order to assist in the development of the final project plan.
• Overseeing community health needs assessment activities within the region: Each PAC will develop a Community Health Needs Assessment (CHNA) subcommittee responsible for conducting data collection and stakeholder engagement within the locality. This information will feed into regional CHNAs that will ultimately be tied into a single HVDC CHNA, consolidated by the stakeholder engagement committee described in previous sections.
• Data analytics: the PAC will carefully evaluate metrics the state has outlined for individual DSRIP projects and compare those elements to community level metrics and results to inform project selection.
• Finalizing project selection and design, with a mind toward regional nuances that should inform implementation: The HVDC will rely upon the regional PACs to provide important local knowledge of community dynamics and sub-populations that will shape how projects are designed. For example, PACs may offer insights on primary languages used in the locality or how to adapt various types of interventions in a culturally sensitive manner.
• Offering expertise on how to operationalize projects at the local level: the PACs will provide insights on organizational and logistical hurdles that should be considered in the roll-out of HVDC projects.
• Providing feedback to make sure that workforce issues are considered: the PACs will include significant representation from union leadership and other workforce experts. The HVDC will rely upon the PACs to provide insights on how to ensure that local workforces are informed about the DSRIP project, how to best prepare local workforces (either through education or additional training) to work within new care delivery models, and strategies for recruitment of new workforce, as needed, to staff and support DSRIP projects.
Ultimately the PACs will come together to make project plan recommendations to the HVDC steering committee (described in the following section) to inform the final plan development.
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Flexibility in the Project Advisory Committee (Q's 10.2 & 10.3)
10.2) Are you proposing an alternative structure for your Project Advisory Committee? Yes
If you answered "Yes" then:
- Answer question 10.3If you answered "No", then please skip 10.3
10.3) Please give an explanation of how your emerging PPS will be structuring your Project Advisory Committee? (Restricted to 5000 characters)~ See instructions for further clarification Characters used: 3679
^ The proposed alternative structure must still represent all key parties(Partner Organization/Union/Worker representatives) within the PPS.
For an emerging Performing Provider System with over 20 partnering organizations, qualifying PPS may propose an alternative PAC structure that will allow for a leaner committee as long as the proposed structure is still representative of all key parties within the PPS.
- Your emerging PPS must contain over 20 partnering organizations
The HVDC will employ an alternative project advisory committee (PAC) structure given the size of the underlying provider network (200+ providers) and the spread of geographic locations. Specifically, the HVDC proposes PACS broken out by geography: Westchester; Orange/Sullivan; Rockland; and a committee representing Dutchess, Ulster, and Putnam. HVDC arrived at these groupings based upon where providers and patients are concentrated and hospital discharge patterns.
Each regional PAC will consist of one representative from each HVDC provider organization within the specified region; if providers are present in multiple geographies, these organizations can designate a single representative from each geographic region to serve on the relevant PAC. To support an emphasis on workforce issues, the PAC will also include participants from major union organizations within each region and other non-union workforce experts.
The HVDC also anticipates that the PACs will develop a number of more specific workgroups to engage a larger audience of stakeholders. For example, PACs will create community health needs assessment (CHNA) engagement sub-committees that will work closely with the cross-cutting stakeholder engagement group. Other sub-committee structures could focus on more specific DSRIP project activities or other functional areas, like workforce development.
The PAC structure will plug into a larger HVDC governance organization, detailed below. As more intensive planning begins, the HVDC may modify the overall approach based upon ongoing stakeholder feedback or the results of community needs activities.
The preliminary thinking is that the HVDC will be chaired by a steering committee, responsible for monitoring project functional areas and making major project decisions. The steering committee will consist of representatives from the lead applicant along with other organizations that contribute sizable Medicaid attribution, a broad scope of services (e.g., geographic breadth, types of services), demonstrate high quality performance, and meet other to-be-determined characteristics. Steering committee members may be expected to devote staffing, planning, and financial resources to DSRIP execution. Crucially, to maintain continuity with PACs, the steering committee will include participation from local PAC leadership structures. In the steering committee membership, HVDC will strive to maintain a balance of hospitals, skilled nursing facilities, home care agencies, health homes, community based organizations, behavioral health organizations, specialty hospitals, federally qualified health centers, and local businesses.
In addition to the regional PACs, the steering committee will oversee cross-cutting committees by functional area including finance, care management/clinical operations, data analytics, stakeholder engagement, and information technology. The cross-cutting committees are intended to promote continuity and learning across the regions in these functional areas and will be staffed by subject matter experts from organizations reflected in the steering committee, as well as other experts on a to-be-determined basis.
The HVDC believes the PAC structure as outlined will deliver on the HVDC’s vision to promote truly integrated care, with locally accessible services that are patient-centered and best reflect community needs. As the HVDC is still finalizing its PPS network, based upon feedback from the state, the PAC participant list in the subsequent section reflects a mix of individual participants and organizations that will participate; HVDC will continue to refine this list in the coming planning period.
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^ Any alternative proposal must be approved by the state during the DSRIP design Grant application process.
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10.4)List all the worker representatives, union representatives and Performing Provider System partner organization representatives that will be part of the emerging Performing Provider Systems Project Advisory Committee.~ Please see instructions for clarification
(1) (2) (3) (4)
Name Partner Organization Name *Union Organization NameAlan Trager Partner Organization Representative Westchester Jewish Community Services
Allison McGuire Partner Organization Representative Hudson River HealthCareAmy Anderson-Winchell Partner Organization Representative Occupations, Inc.
Amy Gelles Partner Organization Representative The Guidance Center of WestchesterAnastasios Markopoulos Partner Organization Representative Bethel Adult Day Care
Andrea Kocsis Partner Organization Representative Human Development Services of WestchesterAndrew O'Grady Partner Organization Representative Mental Health America of Dutchess
Aron Reiner Partner Organization Representative Bikur Cholim, IncBarry Russell Union representative 445
Bernadette Kingham-Bez Partner Organization Representative Saint Josephs Hospital, YonkersBert Heinemann Partner Organization Representative Sans Souci Rehabilitation & Nursing Beth Goldstein Partner Organization Representative Bethel Adult Day Care
Betsy Biddle Partner Organization Representative Andrus on HudsonBonnie Halley Partner Organization Representative Summit Park Hospital - Rockland County Department of Mental Health RAMBonnie Halley Partner Organization Representative Rockland County Department of Mental Health RAM
Camille Edwards Union representative 1199Caren Fairweather Partner Organization Representative Maternal-Infant Services Network of Orange, Sullivan and Ulster Counties, Inc.
carole sgaglione Partner Organization Representative Regency Extended Care CenterCharlotte Ostman Partner Organization Representative The Center for Discovery
CHRIS BRUMBY Partner Organization Representative Wingate at Dutchess, IncChris Hickey Partner Organization Representative Hebrew Home at Riverdale
christina longinott Partner Organization Representative WILLCAREColette Phipps Partner Organization Representative Westchester Public/Private Partnership for Aging Services
Crystal Cordovano Partner Organization Representative Somers Manor Rehabilitation & Nursing CenterCynthia Wolff Union representative 1199
Dan Ross Partner Organization Representative Resource Medical (Arcwell Medical)Daniel Grady Partner Organization Representative Hospice of Orange & Sullivan Counties, Inc.David Gerber Partner Organization Representative St. Christopher's Inn
David Ping Partner Organization Representative Health Quest Medical PracticeDean Scher Partner Organization Representative Catholic Charities Community Services of Orange CountyDenise Zbar Partner Organization Representative Nyack Hospital
Diane Judson Partner Organization Representative Wingate at Dutchess, IncDiane Serratore Partner Organization Representative People to PeopleDonna Ponessa Partner Organization Representative Westchester Independent LivingEdward Herman Partner Organization Representative Rockland Psychiatric Center PEFEdward Herman Partner Organization Representative Rockland Psychiatric CenterFaith Levesque Partner Organization Representative Highland Rehabilitation and Nursing Center
Francoise Dunefsky Partner Organization Representative Gateway Community Industries, Inc.George Hajjar Partner Organization Representative Terence Cardinal Cooke Health Care Center
Gerard Lesczynski Partner Organization Representative Multi County Community Development CorporationGeri Brooks Partner Organization Representative United Hebrew of New Rochelle
Howard Yager Partner Organization Representative Hudson Valley Cerebral Palsy AssociationIsrael Nachfolger Partner Organization Representative Sprain Brook Manor Rehab LLC
Partner Organization Representative/Union Representative*/Worker Representative
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(1) (2) (3) (4)
Name Partner Organization Name *Union Organization NamePartner Organization Representative/Union
Representative*/Worker RepresentativeJason Ficks Partner Organization Representative Visiting Nurse Service of New York Home Care
Jean-Paul Vallet Partner Organization Representative Orange Regional Medical CenterJoan Cusack Partner Organization Representative ST. Luke's Cornwall Hospital
JOHN CANNING Partner Organization Representative Blythedale Children's HospitalJonah Cardillo Partner Organization Representative St. Mary's Healthcare System for Children
Jonnie Wesley-Krueger Partner Organization Representative The Greater Hudson Valley Family Health Center, Inc.joy Wood Partner Organization Representative Roscoe Regional Rehabilitation & Residental Healthcare Facility
June Rothington Partner Organization Representative Visiting Nurse Service of New York Home CareKathy Reed Partner Organization Representative Catskill-Hudson Area Health Education Consortium
Katiria Romero Partner Organization Representative Visiting Nurse Service of New York Home CareKerron Norman Partner Organization Representative Julia Dyckman Andrus Memorial Kevin Hazucha Partner Organization Representative Hudson Valley Mental Health, Inc
Laurel McCullagh Partner Organization Representative St. Christopher's InnLorraine Horgan Partner Organization Representative Cabrini of Westchester - Adult Day Health Care Program
Lou Harris Partner Organization Representative Dominican Sisters Family Health Service, Inc.Lowell Feldman Partner Organization Representative Terrace Healthcare Center
Lynn Nelson Partner Organization Representative St. John's Riverside HospitalMaria Pici Partner Organization Representative Children's Rehabilitation Center
Marianne Kennedy Partner Organization Representative Visiting Nurse Service of New York Home CareMarianne Taylor-Rhoades Partner Organization Representative St. Christopher's Inn
Mark Campione Partner Organization Representative St. Christopher's InnMark de Jongh Partner Organization Representative Walgreen's Well Transitions
mark Hammond Partner Organization Representative The Wartburg Home of the Evangelical Lutheran Church, Inc.Mary Beth Soucy Partner Organization Representative Dominican Sisters Family Health Service, Inc.Mary Gadomski Partner Organization Representative Visiting Nurse Services in Westchester
Mary J. Zagajeski Partner Organization Representative Dominican Sisters Family Health Service, Inc.Mary Jane Blaney Partner Organization Representative Terrace Healthcare Center
Matt Lippitt Partner Organization Representative Prime Home Health Services Matthew Shelley Partner Organization Representative Jawonio IncMaureen Doran Partner Organization Representative St. Luke's Cornwall Hospital
Michael Geoghagen Partner Organization Representative White Plains HospitalMichael Purnell Partner Organization Representative Cornerstone Medical Arts Center HospitalMichael Rader Partner Organization Representative Nyack Hospital
Nadia Allen Partner Organization Representative Mental Health Association in Orange Co., Inc.Nancy McGraw Partner Organization Representative Sullivan County Public Health Services
Pat Murphy Partner Organization Representative The Greater Hudson Valley Family HealthRahchel Bein Partner Organization Representative Ramapo Manor Center for Rehabilitation and NursingRay Florida Partner Organization Representative Rockland Paramedics
Regina Melly Partner Organization Representative Jewish Home Lifecare, Home CareRena Finkelstein Partner Organization Representative NAMI-FAMILYA of Rockland County, Inc.Richard Trocino Partner Organization Representative Hospice, Inc. dba Hudson Valley Hospice
Rosemary Martino Partner Organization Representative Montefiore New Rochelle HospitalRosemary Martino Partner Organization Representative Schaffer Extended Care CenterRosemary Martino Partner Organization Representative Montefiore Mount Vernon Hospital
Shaindy Milner Partner Organization Representative Community Medical and Dental Care, Inc.Stephanie Madison Partner Organization Representative Mental Health Association of Rockland County, Inc.
Susan Miller Partner Organization Representative Multi County Community Development CorporationSusan Wayne Partner Organization Representative Family Services of Westchester
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Name Partner Organization Name *Union Organization NamePartner Organization Representative/Union
Representative*/Worker RepresentativeTamaris Princi Partner Organization Representative Westchester Independent Living
Theresa Georgeo Partner Organization Representative Dominican Sisters Family Health Service, Inc.Vincent Maniscalco Partner Organization Representative Middletown Park Rehabilitation & Health Care Center
Zakiyah Williams Partner Organization Representative Maternal-Infant Services Network of Orange, Sullivan and Ulster Counties, Inc. Michele Quirolo Partner Organization Representative Visiting Nursing Service of Hudson Valley
Partner Organization RepresentativePartner Organization Representative Achieve Rehab and Nursing FacilityPartner Organization Representative AdvantageCare Physicians, P.C Partner Organization Representative All Pro Home & Health Care ServicesPartner Organization Representative Alpine Home Health CarePartner Organization Representative American Heart Association Rockland County Partner Organization Representative Amos & Sarah Holden HomePartner Organization Representative Angola House Group Home (Girls)Partner Organization Representative ARC Health Resources of RocklandPartner Organization Representative ArchCarePartner Organization Representative Beacon Community Health CenterPartner Organization Representative Best Choice Home Health CarePartner Organization Representative Best Healthcare, Inc.Partner Organization Representative Beth Abraham Health ServicesPartner Organization Representative Boys Group Home (Drake)Partner Organization Representative Bronx Center for Rehabilitation & Health CarePartner Organization Representative Campbell Hall Rehabilitation CenterPartner Organization Representative Cardinal Health Partners IPA,LLCPartner Organization Representative Catholic Charities (Rockland County)Partner Organization Representative Center for Nursing and RehabilitationPartner Organization Representative Center for Safety and ChangePartner Organization Representative CenterLightPartner Organization Representative Childrens Health & Research Foundation, Inc. /Lower Hudson Valley Perinatal NetworkPartner Organization Representative CHOICE of New Rochelle, Inc.Partner Organization Representative Community HealthPartner Organization Representative Cortlandt Healthcare Partner Organization Representative County of Sullivan, Department of Community ServicesPartner Organization Representative Daughters of Jacob Nursing Home Company Inc.Partner Organization Representative Dominican CollegePartner Organization Representative Dumont Center for RehabilitationPartner Organization Representative Dutchess Center for Rehabilitation & Healthcare Partner Organization Representative Dutchess County Department of Mental HygienePartner Organization Representative Easter Seals, Port JervisPartner Organization Representative Eckerson Pediatric Asso. Clarkstown PediatricPartner Organization Representative ElantPartner Organization Representative Elizabeth Seton Pediatric CenterPartner Organization Representative Elsie Owens Health CenterPartner Organization Representative Emergency Group ResidencePartner Organization Representative Ezras Choilim Health Center, Inc.Partner Organization Representative Family Empowerment CouncilPartner Organization Representative Ferncliff Nursin Home Company, Inc. Partner Organization Representative Field Home Holy ComforterPartner Organization Representative Food Bank of the Hudson Valley
Astor Services for Children & Families
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(1) (2) (3) (4)
Name Partner Organization Name *Union Organization NamePartner Organization Representative/Union
Representative*/Worker RepresentativePartner Organization Representative Friedwald Center for Rehabilitation and Nursing, LLC.Partner Organization Representative Friendship ADC LLCPartner Organization Representative Glen Island Center for Nursing & RehabilitationPartner Organization Representative Haverstraw Health CenterPartner Organization Representative Haverstraw PediatricsPartner Organization Representative Hebrew Hospital Home of WestchesterPartner Organization Representative Helen Hayes Hospital RHCFPartner Organization Representative HONORehgPartner Organization Representative Hospice Care in Westchester and PutnamPartner Organization Representative Hudson Valley Care CoalitionPartner Organization Representative IRAPartner Organization Representative Jawonio, Inc.Partner Organization Representative JCC RocklandPartner Organization Representative Kaplan Family HospicePartner Organization Representative Keller Hospital (at West Point)Partner Organization Representative Kings Harbor Multicare CtrPartner Organization Representative Kingsbridge Heights Rehab CtrPartner Organization Representative Living Independently for the Elderly IncPartner Organization Representative Margaret Tietz Nursing and Rehabilitation CenterPartner Organization Representative Meals on Wheels (including Day Program)Partner Organization Representative Medical Arts Sanitarium, Inc.Partner Organization Representative Mental Health Association WestchesterPartner Organization Representative Michael Malotz Skilled Nursing PavilionPartner Organization Representative Middletown Community Health CenterPartner Organization Representative Montgomery Nursing & Rehabilitation CenterPartner Organization Representative Monticello Health CenterPartner Organization Representative MVP Housing Development Fund Company Inc.Partner Organization Representative Nathan Kline Institute for Psychiatric ResearchPartner Organization Representative Northern Manor Geriatric Center Inc.Partner Organization Representative Northern Metropolitan Residential Health Care FacilityPartner Organization Representative Northern Riverview Health Care CenterPartner Organization Representative Nyack Manor Nursing homePartner Organization Representative NYS Perinatal AssociationPartner Organization Representative NYS PREVENTION PARTNERS-Orange County & Rockland CountyPartner Organization Representative Orange County Community CollegePartner Organization Representative Orange County Department of HealthPartner Organization Representative Orange County Department of Mental HealthPartner Organization Representative Orange County Rehab--OccupationsPartner Organization Representative Orange Regional Medical CenterPartner Organization Representative Palisades Nursing homePartner Organization Representative Park Housing Development Fund Company Inc.Partner Organization Representative Pine Valley Center for Rehabilitation and NursingPartner Organization Representative Pinnacle Health ConsultantsPartner Organization Representative Port Chester Nursing and Rehabilitation CentrePartner Organization Representative Port Jervis EMPOWERPartner Organization Representative Poughkeepsie Community Health Center Partner Organization Representative Poughkeepsie Family Health CenterPartner Organization Representative Putnam Family & Community Services
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(1) (2) (3) (4)
Name Partner Organization Name *Union Organization NamePartner Organization Representative/Union
Representative*/Worker RepresentativePartner Organization Representative Putnam Operations Acquisition I, LLCPartner Organization Representative Rockland Children's Psychiatric CenterPartner Organization Representative Rockland Community CollegePartner Organization Representative Rockland County Assn. for Learning DisabilitiesPartner Organization Representative Rockland County District Attorney's OfficePartner Organization Representative Rockland County Health Dept.-Primary CarePartner Organization Representative Rockland County LTACHPartner Organization Representative Salem Hills Rehabilitation and Nursing CenterPartner Organization Representative Schervier Nursing Care CenterPartner Organization Representative Scheuer Gardens Limited PartnershipPartner Organization Representative Scheuer Plaza Limited PartnershipPartner Organization Representative Schnurmacher Center for Rehabilitation and NursingPartner Organization Representative Search for Change, Inc.Partner Organization Representative SeniorCare Emergency Medical ServicesPartner Organization Representative SeniorRidePartner Organization Representative Skyview Rehabilitation and Health Care, LLCPartner Organization Representative Special Victims Unit (Rockland)Partner Organization Representative St. Thomas Aquinas CollegePartner Organization Representative Student Assistance Services CorporationPartner Organization Representative Sutton Park rehabPartner Organization Representative Taconic Health Information Network and CommunityPartner Organization Representative Tarrytown Hall Care CenterPartner Organization Representative The Children's VillagePartner Organization Representative The Council on Alcoholism & Drug Abuse of Sullivan CountyPartner Organization Representative The Eliot at Erie StationPartner Organization Representative The Greater Hudson Valley Health System Medical GroupPartner Organization Representative The Winifred Masterson Burke Rehabilitation HospitalPartner Organization Representative TRIPSPartner Organization Representative United HospicePartner Organization Representative University Nursing HomePartner Organization Representative VerizonPartner Organization Representative VNA Home Health ServicesPartner Organization Representative VNSNY Hospice and Palliative CarePartner Organization Representative Wallkill Valley Health CenterPartner Organization Representative Waterview Hills Rehabilitation and Nursing CenterPartner Organization Representative West Ledge Rehabilitation & Nursing Partner Organization Representative Westchester Care at Home, Inc.Partner Organization Representative Westchester Jewish Community ServicesPartner Organization Representative WESTMED Practice Partners LLCPartner Organization Representative William E. Shands Community Health CenterPartner Organization RepresentativePartner Organization Representative Workmen's CirclePartner Organization Representative YMCA of Yonkers DBA - Yonkers Family YMCAPartner Organization Representative Yonkers GuildCare-JGB Health Facilities Corp.
Select OneSelect OneSelect OneSelect One
Williamsbridge Manor Nursing Home
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(1) (2) (3) (4)
Name Partner Organization Name *Union Organization NamePartner Organization Representative/Union
Representative*/Worker RepresentativeSelect OneSelect OneSelect OneSelect One
INDEX SCOREDomain 2 System Transformation Projects
2A. Create Integrated Delivery Systems (required)2B. Implementation of care coordination and transitional care programs2C. Connecting system
Select One2.A.I Create Integrated Delivery Systems that are focused on Evidence Based Medicine / Population Health Management 56
2.A.II Increase certification of primary care practitioners with PCMH certification and/or Advanced Primary Care Models (as developed under the New York State Health Innovation Plan (SHIP)) 372.A.III Health Home At-Risk Intervention Program –Proactive management of higher risk patients not currently eligible for Health Homes through access to high quality primary care and support services. 462.A.IV Create a medical village using existing hospital infrastructure 542.A.V Create a medical village/ alternative housing using existing nursing home 42
Select One2.B.I Ambulatory ICUs 36
2.B.II Development of co-located primary care services in the emergency department (ED) 402.B.III ED care triage for at-risk populations 432.B.IV Care transitions intervention model to reduce 30 day readmissions for chronic health conditions 432.B.V Care transitions intervention for skilled nursing facility residents 41
2.B.VI Transitional supportive housing services 472.B.VII Implementing the INTERACT project (inpatient transfer avoidance program for SNF) 41
2.B.VIII Hospital-Home Care Collaboration Solutions 452.B.IX Implementation of observational programs in hospitals 36
2.C.I Development of community-based health navigation services 372.C.II Expand usage of telemedicine in underserved areas to provide access to otherwise scarce services 31
Select One2.A.I Create Integrated Delivery Systems that are focused on Evidence Based Medicine / Population Health Management 56
2.A.II Increase certification of primary care practitioners with PCMH certification and/or Advanced Primary Care Models (as developed under the New York State Health Innovation Plan (SHIP)) 372.A.III Health Home At-Risk Intervention Program –Proactive management of higher risk patients not currently eligible for Health Homes through access to high quality primary care and support services. 462.A.IV Create a medical village using existing hospital infrastructure 542.A.V Create a medical village/ alternative housing using existing nursing home 422.B.I Ambulatory ICUs 36
2.B.II Development of co-located primary care services in the emergency department (ED) 402.B.III ED care triage for at-risk populations 432.B.IV Care transitions intervention model to reduce 30 day readmissions for chronic health conditions 432.B.V Care transitions intervention for skilled nursing facility residents 41
2.B.VI Transitional supportive housing services 472.B.VII Implementing the INTERACT project (inpatient transfer avoidance program for SNF) 41
2.B.VIII Hospital-Home Care Collaboration Solutions 452.B.IX Implementation of observational programs in hospitals 36
2.C.I Development of community-based health navigation services 372.C.II Expand usage of telemedicine in underserved areas to provide access to otherwise scarce services 31
Domain 3 Clinical Improvement Projects3A. Behavioral Health (Required)3B. Cardiovascular Health3C. Diabetes Care3D. Asthma3E. HIV3F. Perinatal3G. Palliative Care3H. Renal Care
Select One3.A.I Integration of primary care services and behavioral health 39
3.A.II Behavioral health community crisis stabilization services 373.A.III Implementation of evidence based medication adherence program (MAP) in community based sites for behavioral health medication compliance 293.A.IV Development of withdrawal management (ambulatory detoxification) capabilities within communities 363.A.V Behavioral Interventions Paradigm in Nursing Homes (BIPNH) 403.B.I Evidence based strategies for disease management in high risk/affected populations (adult only) 30
3.B.II Implementation of evidence-based strategies in the community to address chronic disease -- primary and secondary prevention projects (adult only) 263.C.I Evidence-based strategies for disease management in high risk/affected populations (adults only) 30
3.C.II Implementation of evidence-based strategies in the community to address chronic disease – primary and secondary prevention projects (adults only) 263.D.I Development of evidence-based medication adherence programs (MAP) in community settings –asthma medication 28
3.D.II Expansion of asthma home-based self-management program 313.D.III Evidence based medicine guidelines for asthma management 31
3.E.I Comprehensive Strategy to decrease HIV/AIDS transmission to reduce avoidable hospitalizations – development of a Center of Excellence for management of HIV/AIDS 283.F.I Increase support programs for maternal & child health (including high risk pregnancies) (Example: Nurse-Family Partnership) 293.G.I IHI “Conversation Ready” model 29
3.G.II Integration of palliative care into medical homes 223.G.III Integration of palliative care into nursing homes 25
3.H.I Specialized Medical Home from Chronic Renal Failure 29
Domain 4 Population-Wide Projects4A. Promote Mental Health and Prevent Substance Abuse (MHSA)4B. Prevent Chronic Diseases4C. Prevent HIV and STD's4D. Promote Healthy Women, Infants and Children
Select One4.A.I Promote mental, emotional and behavioral (MEB) well-being in communities 23
4.A.II Prevent Substance Abuse and other Mental Emotional Behavioral Disorders 204.A.III Strengthen Mental Health and Substance Abuse Infrastructure across Systems 20
4.B.I Promote tobacco use cessation, especially among low SES populations and those with poor mental health 234.B.II Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings (Note: This project targets chronic diseases that are not included in domain 3.b., such as cancer) 174.C.I Decrease HIV morbidity 19
4.C.II Increase early access to, and retention in, HIV care 194.C.III Decrease STD morbidity 154.C.IV Decrease HIV and STD disparities 18
4.D.I Reduce premature births 24
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