Active NPI
Robert Charles Parajon, DPM
- Podiatrist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004511
- Practice address
- 696 Dutchess Tpke Ste M
Poughkeepsie, NY 12603-6429 - Phone
- (845) 451-7266
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004511 | NY | Primary |
Addresses
Primary practice location
696 Dutchess Tpke Ste M
Poughkeepsie, NY 12603-6429
Mailing address
243 North Road
Suite 304
Poughkeepsie, NY 12524-1789
Phone (845) 451-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01161077 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
243 N Rd
Suite 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004511 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Podiatrist | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley P.C. | Podiatrist | Current | Accepting new patients |
Locations
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
243 North Rd
Ste 101
Poughkeepsie, NY 12601
Phone (845) 471-9410
696 Dutchess Tpke
Ste M
Poughkeepsie, NY 12603
Phone (845) 451-7266
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- rparajon@premiermedicalhv.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
Podiatrist
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1053382838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH ROAD",
"address_2": "SUITE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "125241789",
"telephone_number": "845-451-7251",
"fax_number": "845-471-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 DUTCHESS TPKE STE M",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036429",
"telephone_number": "845-451-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAJON",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01161077",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.