Active NPI
Hari Golla, MD
- Internal Medicine Physician
- Newburgh, NY
National Provider Identifier
1487760518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 236131
- Practice address
- 70 Dubois Street
St Lukes Cornwall Hospital
Newburgh, NY 12550 - Phone
- (845) 458-4927
- Fax
- (845) 458-4970
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 236131 | NY | Primary |
Addresses
Primary practice location
70 Dubois Street
St Lukes Cornwall Hospital
Newburgh, NY 12550
Mailing address
70 Dubois Street
St Lukes Cornwall Hospital Patient Accounting Dept
Newburgh, NY 12550
Phone (845) 458-4927
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236131 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487760518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 DUBOIS STREET",
"address_2": "ST LUKES CORNWALL HOSPITAL PATIENT ACCOUNTING DEPT",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-458-4927",
"fax_number": "845-458-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DUBOIS STREET",
"address_2": "ST LUKES CORNWALL HOSPITAL",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-458-4927",
"fax_number": "845-458-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLA",
"first_name": "HARI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "236131",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.