Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mount Kisco Medical Group PC

Organization Internal Medicine Physician · NPI 1790904878

Mount Kisco Medical Group PC is an Internal Medicine Physician in Katonah, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Bedford Rd
Katonah, NY 10536
Phone: (914) 232-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Pediatrics Physician Taxonomy 208000000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1790904878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Monaco — Billing Director · (914) 241-1050
NPI enumeratedApril 25, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address90 South Bedford Rd, Mount Kisco, NY 10549

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