Deepak Parikh, MD

Individual provider Active NPI Emergency Medicine Physician · Stone Ridge, NY

NPI 1174580385 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174580385
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
166137 (NY)
Practice address
3646 Main St
Box 255
Stone Ridge, NY 12484-5601
Phone
(845) 687-0235
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166137NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 166137 NY Yes

Addresses

Primary practice location

3646 Main St
Box 255
Stone Ridge, NY 12484-5601

Mailing address

21 Fruit Bud LN
Red Hook, NY 12571-2117

Other providers in Stone Ridge, NY

All providers in Stone Ridge, NY · Emergency Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.