Organization Active NPI

Catskill Physical Medicine & Pain Management

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1306044649
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
240104 Issued in NY
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

Updated by the provider on Mar 31, 2011

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02833778MedicaidNY

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.