Active NPI
Chris M Pulakos, RN
- Registered Nurse
- Orangeburg, NY
National Provider Identifier
1467770909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN325889-1
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN325889-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric Hospital
- Nyack, NY
- NPI 1578654000
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.