Active NPI
Prajna Latika
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 269538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- White Plains Hospital Center
- Burke Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269538 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Internal Medicine | Current | Accepting new patients |
| White Plains Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Rehabilitation Clinic/Center
- Hudson, NY
- NPI 1457026353
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Psychiatry Physician
- Bronx, NY
- NPI 1073806519
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carle Place, NY
- NPI 1932262383
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.