Somchai Kulwatdanaporn, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MA035607 Issued in NJ

Practice address

645 Broadway
Paterson, NJ 07514-1926

Phone

(201) 962-8536

Fax

(201) 962-8536

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Somchai Kulwatdanaporn, M.D., P.a.

  • Gynecology Physician
  • Paterson, NJ
  • NPI 1326273509
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1225255243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141926",
            "telephone_number": "973-742-2077",
            "fax_number": "973-653-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141926",
            "telephone_number": "201-962-8536",
            "fax_number": "201-962-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULWATDANAPORN",
        "first_name": "SOMCHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "MA035607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "449091",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sripriya Krishnamoorthy
• Harini Krottapalli, MD
• Matthew Kruchten
• Anna Kukharchuk, MD
• Vijaykumar A Kulkarni, M.D.
• Anand CK Kumar, MD
• Poona Kumari, MD
• Elizabeth Kuridza, APN
• Beth Jillian Kushner, DO
• Djohan Kusnan, MD

• Gynecology Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.