Organization Active NPI

Dr. K. Danneeru DPM PLLC

  • Podiatrist
  • Nanuet, NY
National Provider Identifier
1316436090
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006789 Issued in NY
Legal business name
DR. K. DANNEERU DPM PLLC
Practice address
259 S Middletown Rd FL 2
Nanuet, NY 10954-3327
Phone
(845) 354-2700
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Dr. Kalyan Danneeru, DPMNPI 1831531136
Title
Owner
Phone
(832) 724-0247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 006789 NY Primary

Addresses

Primary practice location

259 S Middletown Rd FL 2
Nanuet, NY 10954-3327

Mailing address

9851 64TH Ave Apt 2F
Rego Park, NY 11374-2517
Phone (832) 724-0247

National Provider Directory

National Provider Directory

Locations

259 S Middletown Rd
Fl 2
Nanuet, NY 10954
Phone (845) 354-2700

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": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1316436090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 64TH AVE APT 2F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742517",
            "telephone_number": "832-724-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 S MIDDLETOWN RD FL 2",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543327",
            "telephone_number": "845-354-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K. DANNEERU DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "DANNEERU",
        "authorized_official_first_name": "KALYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-724-0247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.