NPIMap

Organization Active NPI

Krishna M Mohan M.D.P.C.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1215255245
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
126596 Issued in NY
Legal business name
KRISHNA M MOHAN M.D.P.C.
Practice address
4700 Broadway Apt 1a
New York, NY 10040-1549
Phone
(212) 567-2222
Fax
(212) 567-2345
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Dr. Krishna M Mohan, M.D
Title
President
Phone
(212) 567-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 126596 NY Primary

Addresses

Primary practice location

4700 Broadway Apt 1a
New York, NY 10040-1549

Mailing address

4700 Broadway Apt 1a
New York, NY 10040-1549
Phone (212) 567-2222

National Provider Directory

National Provider Directory

Locations

4700 Broadway
Apt 1A
New York, NY 10040
Phone (212) 567-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1215255245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401549",
            "telephone_number": "212-567-2222",
            "fax_number": "212-567-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401549",
            "telephone_number": "212-567-2222",
            "fax_number": "212-567-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA M MOHAN M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-567-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "126596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.