Praveen Kumrah Podiatry P.C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

NOO5801 Issued in NY

Legal business name

PRAVEEN KUMRAH PODIATRY P.C

Practice address

3108 Kingsbridge Ave
Bronx, NY 10463-3956

Phone

(718) 548-1102

Fax

(718) 548-1103

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Praveen Kumrah, D.P.MNPI 1568463842

Title

President

Phone

(973) 831-2177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praveen Kumrah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1568463842
  NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1295885259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FINCH ROAD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "07456",
            "telephone_number": "973-831-2177",
            "fax_number": "973-839-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633956",
            "telephone_number": "718-548-1102",
            "fax_number": "718-548-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVEEN KUMRAH PODIATRY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "KUMRAH",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-831-2177",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NOO5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa D Pratomo, MD
• Akilah Florette Linton Pratt
• Caroline Pratt, MD
• Unique Pratts, RN
• Jordanna Pravato
• Irina V Pravikova, CASAC-T # 21593
• Vincent Setiawan Prawoko, MD
• Margo Praylow, LCSW-R, CASAC
• Prayosha Pharmacy Corp.
• William Zachary Prebel, MD

• Foot & Ankle Surgery Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.