Promila Manual Thakker, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

127961 Issued in NY

Practice address

177 Livingston St Lowr Level
Heartshare Wellness
Brooklyn, NY 11201-7000

Phone

(718) 855-7707

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medical Network Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871507731
  NPD (past)
• New Yaork State Association for Retarded Children Inc - Nassau County

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Plainview, NY
  • NPI 1891864179
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1427124155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 YALE DRIVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-626-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LIVINGSTON ST LOWR LEVEL",
            "address_2": "HEARTSHARE WELLNESS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017000",
            "telephone_number": "718-855-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "PROMILA",
        "middle_name": "MANUAL",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "127961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00237430",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00305593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anmol Sanjay Thakkar
• Divyam Thakkar
• Radhika Thakkar, MD, MPH
• Ruchira Thakkar
• Vrushali Tirth Thakkar, PT
• Zalak Thakker, M.D.
• Kalindi Digant Thakral
• Latika Thakur, PHYSICAL THERAPIST
• Ariana Thakurdeen
• Tekchand Thakurdial, DPM

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.