Individual provider Active NPI

Oscar H Purugganan, MD, MPH

  • Developmental - Behavioral Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1497831341
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
199923 Issued in NY
Practice address
1225 Morris Park Ave BLDG 2C-19
Bronx, NY 10461-1949
Phone
(718) 839-7197
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 199923 NY Primary
Pediatrics Physician 208000000X 199923 NY
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 199923 NY

Addresses

Primary practice location

1225 Morris Park Ave BLDG 2C-19
Bronx, NY 10461-1949

Mailing address

1225 Morris Park Ave BLDG 2C-19
Bronx, NY 10461-1949
Phone (718) 839-7197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000332 NY Practitioner - NeuropsychiatryPractitioner - PsychiatryPractitioner - Pediatric Medicine 8729181466 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Pediatrics CurrentSince Aug 16, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics CurrentSince Jun 1, 2018 Accepting new patients
SBH Physicians, PC Pediatrics Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2019 Accepting new patients
SBH Physicians, PC Pediatrics CurrentSince Mar 2, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 1, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics CurrentSince Mar 1, 2015 Accepting new patients
Nuvance Health Medical Practice PC Pediatrics Past Accepting new patients
Eriver Neurology of New York. LLC PastSince Apr 1, 2007 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1225 Morris Park Ave
Bldg 2C19
Bronx, NY 10461
Phone (718) 839-7197

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

575 W 181st St
New York, NY 10033
Phone (212) 342-3060

2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: opuruggana@montefioredirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1497831341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MORRIS PARK AVE BLDG 2C-19",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611949",
            "telephone_number": "718-839-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MORRIS PARK AVE BLDG 2C-19",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611949",
            "telephone_number": "718-839-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUGGANAN",
        "first_name": "OSCAR",
        "middle_name": "H",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "199923",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199923",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "199923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.