PAUL PROMADHATTVEDI


Address: 255 Fort Washington Ave Apt 41, New York, NY 10032-1252
Phone: 9173283232

PAUL PROMADHATTVEDI (NPI# 1992231294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992231294
Entity Type Individual
Full Name PAUL PROMADHATTVEDI
Credential M.D.
Practice Address 255 Fort Washington Ave Apt 41
New York
NY 10032-1252
Mailing Address 255 Fort Washington Ave
Apt 41
New York
NY 10032-1229
Practice Telephone 9173283232
Mailing Telephone 9173283232
Enumeration Date 2017-05-04
Last Update Date 2019-12-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 301528 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MT212736 PA Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 Lansdowne Ave, Darby, PA 190231200 6102374000

Office Location

Street Address 255 FORT WASHINGTON AVE APT 41
City NEW YORK
State NY
Zip Code 10032-1252

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962022152 Lynnette Lallave - Cortes General Practice 2 Seaman Ave Apt 1d, New York, NY 10034-2904 2020-04-17
1104463652 Ohad Shimshon Bentur General Practice 450 E 63rd St Apt 3g, New York, NY 10065-7957 2019-12-03
1689136137 Michael Gordon General Practice 750 Columbus Ave Apt 6a, New York, NY 10025-6477 2019-04-03
1538651385 Caroline Roberta Campbell General Practice 129 W 81st St Apt 3, New York, NY 10024-7207 2018-06-06
1104317973 Michael Stavis Bohl General Practice 235 W 48th St Apt 34a, New York, NY 10036-1431 2018-05-28
1841793015 Xin He General Practice 60 W 75th St Lowr Level, New York, NY 10023-2016 2018-03-14
1811497381 James Uhrig General Practice 316 W 84th St Apt 6g, New York, NY 10024-4249 2018-02-20
1730607391 Ruben Osvaldo Garcia General Practice 400 E 52nd St Apt 12j, New York, NY 10022-6407 2017-09-05
1407381486 Taber Cloey Lightbourne General Practice 1051 Riverside Drive, Box 103, New York, NY 10032 2017-04-27
1407381072 Primera Health and Wellness Company General Practice 130 7th Ave, Suite 312, New York, NY 10011-1803 2017-04-20
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Competitor

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City NEW YORK
Zip Code 10032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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