Active NPI
Greater Rockland Surgical PC
- Specialist
- West Nyack, NY
National Provider Identifier
1326296039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 129784
- Legal business name
- GREATER ROCKLAND SURGICAL PC
- Practice address
- 719 W Nyack Rd
Village Square - Room 30
West Nyack, NY 10994-2240 - Phone
- (845) 358-8678
- Fax
- (718) 365-7558
- NPI assigned
- Sep 5, 2008
- Last updated
- Sep 5, 2008
- 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. Prakashchandra M Rao, M.D.
- Title
- Physician
- Phone
- (845) 358-8678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 129784 | NY | Primary |
Addresses
Primary practice location
719 W Nyack Rd
Village Square - Room 30
West Nyack, NY 10994-2240
Mailing address
719 W Nyack Rd
Village Square - Room 30
West Nyack, NY 10994-2240
Phone (845) 358-8678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00764383 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
719 W Nyack Rd
Ste 30
West Nyack, NY 10994
Phone (845) 358-8678
955 Yonkers Ave
Ste 110
Yonkers, NY 10704
Phone (718) 365-7255
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Middletown, NY
- NPI 1477711810
-
- Internal Medicine Physician
- Yonkers, NY
- NPI 1275712580
-
- Surgical Physician Assistant
- Mahwah, NJ
- NPI 1235129669
-
- Gastroenterology Physician
- Melbourne, FL
- NPI 1194783654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1326296039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W NYACK RD",
"address_2": "VILLAGE SQUARE - ROOM 30",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942240",
"telephone_number": "845-358-8678",
"fax_number": "718-365-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 W NYACK RD",
"address_2": "VILLAGE SQUARE - ROOM 30",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942240",
"telephone_number": "845-358-8678",
"fax_number": "718-365-7558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ROCKLAND SURGICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "PRAKASHCHANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "845-358-8678",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "129784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00764383",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.