Individual provider Active NPI

Robert Charles Parajon, DPM

  • Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1053382838
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004511 Issued in NY
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

Updated by the provider on May 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01161077MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000007 NY Practitioner - Podiatry 4385793587 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions1-10
Removal of nail tissue44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004511NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. Podiatrist CurrentSince Jan 5, 2015 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Podiatrist CurrentSince Jan 5, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.