Organization Active NPI

Ronald Mark Podell MD PC

  • Psychiatry Physician
  • Cold Spring, NY
National Provider Identifier
1376602383
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
116175 Issued in NY
Legal business name
RONALD MARK PODELL MD PC
Practice address
40 Eagles Nest
Cold Spring, NY 10516
Phone
(845) 265-7867
Fax
(845) 265-7867
NPI assigned
Dec 6, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Ronald M Podell, MD
Title
President
Phone
(845) 265-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 116175 NY Primary

Addresses

Primary practice location

40 Eagles Nest
Cold Spring, NY 10516

Mailing address

40 Eagles Nest
Cold Spring, NY 10516
Phone (845) 265-7867

Other identifiers 1

IdentifierTypeStateIssuer
00509462MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1376602383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EAGLES NEST",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "10516",
            "telephone_number": "845-265-7867",
            "fax_number": "845-265-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EAGLES NEST",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "10516",
            "telephone_number": "845-265-7867",
            "fax_number": "845-265-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MARK PODELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "PODELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-265-7867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "116175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509462",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.