Individual provider Active NPI

Prathila Karunakaran Nair, M.D.

  • Child & Adolescent Psychiatry Physician
  • Paramus, NJ
National Provider Identifier
1235397373
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA09212200 Issued in NJ
Practice address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone
(518) 368-3883
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA09212200 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

71 Wyandotte Ave
Dumont, NJ 07628-2119
Phone (518) 368-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150115002012 NJ Practitioner - Psychiatry 7214161611 Reassigns benefits to 3 organizations
I20241101000617 FL Practitioner - Psychiatry 7214161611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians
Hakuna Matata Psychiatry Services PLLCGroup PAC ID 1153651377, 26 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

601 E Rollins St
Orlando, FL 32803-1248
Phone (850) 687-5990

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09212200NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Behavioral Health CurrentSince Sep 16, 2024 Accepting new patients
Bergen County Improvement Authority CurrentSince Nov 10, 2014 Accepting new patients
Bergen County Improvement Authority CurrentSince Nov 10, 2014 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Jun 1, 2024 Accepting new patients
Hakuna Matata Psychiatry Services PLLC Child & Adolescent Psychiatry CurrentSince Aug 8, 2024 Accepting new patients
Centra Medical Group, LLC PastSince Jun 1, 2024 Accepting new patients
Compassion Psychiarty Services LLC Child & Adolescent Psychiatry PastSince Dec 22, 2019 Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092

300 Forest Ave
Paramus, NJ 07652
Phone (201) 490-5158

230 E Ridgewood Ave
Bldg 6
Paramus, NJ 07652
Phone (201) 225-4700

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1235397373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WYANDOTTE AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282119",
            "telephone_number": "518-368-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "518-368-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "PRATHILA",
        "middle_name": "KARUNAKARAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA09212200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.