Organization Active NPI

Diana Ondrejik, Mdpllc

  • Specialist
  • Newburgh, NY
National Provider Identifier
1437219433
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
129905 Issued in NY
Legal business name
DIANA ONDREJIK, MDPLLC
Practice address
10 Little Britain Rd Ste 103
Newburgh, NY 12550-5161
Phone
(845) 561-5220
Fax
(845) 569-4697
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Diana Ondrejik, MD
Title
MD
Phone
(845) 561-5220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 129905 NY Primary

Addresses

Primary practice location

10 Little Britain Rd Ste 103
Newburgh, NY 12550-5161

Mailing address

10 Little Britain Rd Ste 103
Newburgh, NY 12550-5161
Phone (845) 561-5220

Other identifiers 1

IdentifierTypeStateIssuer
01025323MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Little Britain Rd
Ste 103
Newburgh, NY 12550
Phone (845) 561-2202

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1437219433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LITTLE BRITAIN RD STE 103",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505161",
            "telephone_number": "845-561-5220",
            "fax_number": "845-569-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LITTLE BRITAIN RD STE 103",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505161",
            "telephone_number": "845-561-5220",
            "fax_number": "845-569-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA ONDREJIK, MDPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "ONDREJIK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-561-5220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "129905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01025323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.