Paulo Pacheco, MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

197946 Issued in NY

Legal business name

PAULO PACHECO, MD PC

Practice address

38 E 57TH St
New York, NY 10022-2512

Phone

(212) 326-8999

Fax

(212) 326-8986

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Marie Farrell, RN CCSP

Title

Director Coding

Phone

(845) 634-6500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114051711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SQUADRON BLVD",
            "address_2": "400",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565214",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222512",
            "telephone_number": "212-326-8999",
            "fax_number": "212-326-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULO PACHECO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR CODING",
        "authorized_official_telephone_number": "845-634-6500",
        "authorized_official_credential": "RN CCSP"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "197946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Paulino
• Wendy Paulino, LCSW
• Yahaira Maria Paulino
• Jacqueline Paulis
• Vilija Paulius
• William Paulonis
• Helga Elfriede Paulsen, LP
• John David Paulsen Jr., M.D.
• Loretta Nancy Paulson, LCSW, LP
• Suresh Kumar Paulus, D.O.

• Gastroenterology Physician in New York, NY
• Providers in New York, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.