Purnima Vyavaharkar Pediatric Practice PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PURNIMA VYAVAHARKAR PEDIATRIC PRACTICE PC

Practice address

8400 Oswego Rd
Liverpool, NY 13090-1004

Phone

(315) 652-7939

Fax

(315) 652-6331

NPI assigned

Oct 14, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Purnima Vyavaharkar, MDNPI 1790774529

Title

Owner

Phone

(315) 652-7939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Purnima Vyavaharkar, MD

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1790774529
  NPD (past) Authorized official

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356330187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2001",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574501",
            "telephone_number": "315-449-2208",
            "fax_number": "315-362-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901004",
            "telephone_number": "315-652-7939",
            "fax_number": "315-652-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNIMA VYAVAHARKAR PEDIATRIC PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VYAVAHARKAR",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-652-7939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista L. Puffer, DPT
• Tricia A Pugliese
• Pullano Dental of Clay
• Pullano Dental of Clay, PC (Orion Dental)
• Karen Sue Pulvino, MSN,ANP-C
• Irina Pustovalova, PHARM.D.
• Elaine Therese Pyatak-Wright, PT
• Puteri Nurfaqihah Qisthina
• Holly Beth Quinn, DPT
• Jill A Quinn, PT

• Pediatrics Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.