Devulapalli Medical PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DEVULAPALLI MEDICAL PLLC

Practice address

500 Mamaroneck Ave Ste 211
Harrison, NY 10528-1600

Phone

(914) 771-7373

Fax

(914) 337-6757

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Chaitan Devulapalli, MDNPI 1003105099

Title

Managing Member

Phone

(302) 545-7729

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaitan Devulapalli, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Harrison, NY
  • NPI 1003105099

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1114606555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373",
            "fax_number": "914-337-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAMARONECK AVE STE 211",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281600",
            "telephone_number": "914-771-7373",
            "fax_number": "914-337-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVULAPALLI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "DEVULAPALLI",
        "authorized_official_first_name": "CHAITAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "302-545-7729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003105099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Dela Cruz, PHYSICAL THERAPIST
• Caroline Demartino, PT
• Dermatology Associates of New York, PLLC
• Jane Elliott S Desouza, MPS, ATR-BC, LCAT
• Claire Devine
• Chaitan Devulapalli, M.D.
• Yasmin Dhar, M.D.
• Kristin Ann Di Vico, LMSW, MSPT
• Sarah Diaz
• Ruth Petra Antoinette Dieleman-Levine, D.D.S.

• Plastic Surgery Physician in Harrison, NY
• Providers in Harrison, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.