Individual provider Active NPI

Prajna Latika

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1356517890
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
269538 Issued in NY
Practice address
1650 Selwyn Ave
10TH Floor,Bronx Lebanon Hospital Center
Bronx, NY 10457-7626
Phone
(718) 960-1234
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 269538 NY Primary

Addresses

Primary practice location

1650 Selwyn Ave
10TH Floor,Bronx Lebanon Hospital Center
Bronx, NY 10457-7626

Mailing address

126 Temple Street
Apt 1
Harrison, NY 10528
Phone (940) 435-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119001202 NY Practitioner - Internal Medicine 1850570136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University Medical College - NLG, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

106 Calvert St
Harrison, NY 10528-3131
Phone (914) 835-0073

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269538NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Internal Medicine CurrentSince Aug 30, 2010 Accepting new patients
White Plains Physician Services PC Internal Medicine CurrentSince Dec 15, 2022 Accepting new patients
Bronxcare Health System CurrentSince Aug 30, 2010 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Selwyn Ave
Bronx, NY 10457
Phone (718) 466-8153

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

106 Calvert St
Harrison, NY 10528
Phone (914) 835-0073

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1356517890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TEMPLE STREET",
            "address_2": "APT 1",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "10528",
            "telephone_number": "940-435-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "address_2": "10TH FLOOR,BRONX LEBANON HOSPITAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-960-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIKA",
        "first_name": "PRAJNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.