Individual provider Active NPI

Chris M Pulakos, RN

  • Registered Nurse
  • Orangeburg, NY
National Provider Identifier
1467770909
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN325889-1 Issued in NY
Practice address
140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962
Phone
(845) 359-1000
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN325889-1 NY Primary

Addresses

Primary practice location

140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962

Mailing address

18 Church Street
Nyack Consultation Center
Nyack, NY 10960-3108
Phone (845) 358-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN325889-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Psychiatric Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1467770909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CHURCH STREET",
            "address_2": "NYACK CONSULTATION CENTER",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603108",
            "telephone_number": "845-358-1677",
            "fax_number": "845-358-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG ROAD",
            "address_2": "ROCKLAND PSYCHIATRIC CENTER",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "845-359-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULAKOS",
        "first_name": "CHRIS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "RN325889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.