Active NPI
Neonates and Pediatrics
- Clinic/Center
- Putnam Valley, NY
National Provider Identifier
1164553574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 173130
- Legal business name
- NEONATES AND PEDIATRICS
- Practice address
- 101 Waterside Professional Park
Putnam Valley, NY 10579-3502 - Phone
- (914) 528-7337
- Fax
- (914) 528-1831
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bajrang L Agarwal, MD
- Title
- President
- Phone
- (914) 528-7337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 173130 | NY | Primary |
Addresses
Primary practice location
101 Waterside Professional Park
Putnam Valley, NY 10579-3502
Mailing address
101 Waterside Professional Park
Putnam Valley, NY 10579-3502
Phone (914) 528-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01235423 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
101 Waterside Professional Park
Putnam Valley, NY 10579
Phone (914) 528-2337
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Putnam Valley, NY
- NPI 1154965622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164553574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WATERSIDE PROFESSIONAL PARK",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "105793502",
"telephone_number": "914-528-7337",
"fax_number": "914-528-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WATERSIDE PROFESSIONAL PARK",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "105793502",
"telephone_number": "914-528-7337",
"fax_number": "914-528-1831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEONATES AND PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "BAJRANG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-528-7337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "173130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01235423",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Putnam Valley, NY
- Sheila Houston Moroney, SLP
- My Care Medical Services PC
- Shehla Y Naqvi, MD
- Kay S Nathanson, LCSW
- National Sleep Labs
- Northern Westchester and Putnam Physical Therapy
- Northern Westchester Surgical Associates, LLP
- Northern Westchester-Putnam Physical Therapy PC
- Northern Westchester-Putnam Physical Therapy, PC.
- Ortho Bracing Systems LTD
Sources for this page
- 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.