Active NPI
Catskill Physical Medicine & Pain Management
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
National Provider Identifier
1306044649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 240104
- Legal business name
- CATSKILL PHYSICAL MEDICINE & PAIN MANAGEMENT
- Practice address
- 2940 Grand Concourse
Suite 1a
Bronx, NY 10458-2611 - Phone
- (718) 684-2516
- Fax
- (718) 684-2518
- NPI assigned
- Jul 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pramila Kumari Kolisetty, MD
- Title
- Physician
- Phone
- (718) 644-4529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 240104 | NY | Primary |
Addresses
Primary practice location
2940 Grand Concourse
Suite 1a
Bronx, NY 10458-2611
Mailing address
PO Box 2157
Monroe, NY 10949-7157
Phone (718) 644-4529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02833778 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Trinity, FL
- NPI 1477713303
Physical Medicine & Rehabilitation
-
- Physical Therapist
- Snellville, GA
- NPI 1053408427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301529600000",
"number": "1306044649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2157",
"city": "MONROE",
"state": "NY",
"postal_code": "109497157",
"telephone_number": "718-644-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 GRAND CONCOURSE",
"address_2": "SUITE 1A",
"city": "BRONX",
"state": "NY",
"postal_code": "104582611",
"telephone_number": "718-684-2516",
"fax_number": "718-684-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATSKILL PHYSICAL MEDICINE & PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-09",
"last_updated": "2011-03-31",
"status": "A",
"authorized_official_last_name": "KOLISETTY",
"authorized_official_first_name": "PRAMILA",
"authorized_official_middle_name": "KUMARI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-644-4529",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "240104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02833778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.