Individual provider Active NPI

Kola Dushaj, MD

  • Internal Medicine Physician
  • Cortlandt Manor, NY
National Provider Identifier
1114264595
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275777 Issued in NY
Practice address
2084 E Main St
Cortlandt Manor, NY 10567-2621
Phone
(914) 739-4800
Fax
(914) 468-2570
NPI assigned
Jan 6, 2013
Last updated
Dec 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275777 NY Primary

Addresses

Primary practice location

2084 E Main St
Cortlandt Manor, NY 10567-2621

Mailing address

226 Oscawana Lake Rd
Putnam Valley, NY 10579-2601
Phone (914) 557-7909

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909001001 NY Practitioner - HospitalistPractitioner - Internal Medicine 0446479315 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Hospital Association Internal Medicine CurrentSince Jul 7, 2014 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 8, 2018 Accepting new patients
MSK Harrison CurrentSince Dec 26, 2018 Accepting new patients
Phelps Memorial Hospital Association CurrentSince Jul 7, 2014 Accepting new patients
Phelps Memorial Hospital Association Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 8, 2018 Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

2084 E Main St
Cortlandt Manor, NY 10567
Phone (914) 739-4800

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

100 S Highland Ave
Ossining, NY 10562
Phone (914) 373-4949

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Philadelphia, PA 19195

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1114264595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 OSCAWANA LAKE RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792601",
            "telephone_number": "914-557-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 E MAIN ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105672621",
            "telephone_number": "914-739-4800",
            "fax_number": "914-468-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHAJ",
        "first_name": "KOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-06",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.