Organization Active NPI

Neonates and Pediatrics

  • Clinic/Center
  • Putnam Valley, NY
National Provider Identifier
1164553574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
173130 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01235423MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.