Priya Mohanty Medical Practice PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

224111 Issued in NY

Legal business name

PRIYA MOHANTY MEDICAL PRACTICE PLLC

Practice address

2626 W State St
Ste # 208
Olean, NY 14760-1858

Phone

(716) 790-8038

Fax

(716) 790-8041

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Priya D. Mohanty, M.D.

Title

President

Phone

(716) 238-1782

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1104134048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "address_2": "STE # 208",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-790-8038",
            "fax_number": "716-790-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "address_2": "STE # 208",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-790-8038",
            "fax_number": "716-790-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA MOHANTY MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "MOHANTY",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-238-1782",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "224111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02319928",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021088750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194712695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Power, RN
• Thomas C Power
• Troy A Prather, CRNA
• Premo Limousine Service of Wny LLC
• Tonya L Previglian, CRNA
• Robert John Prizel, RPH
• Prizels Pharmacy LLC
• Dannielle L Proctor, MS
• Donald Anthony Proto, DDS
• Louis G Prumbs, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Olean, NY
• Providers in Olean, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.