NPIMap

Organization Active NPI

K.S.Prakash PC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1508043993
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
130852 Issued in NY
Legal business name
K.S.PRAKASH PC
Practice address
2358 Crotona Ave
Bronx, NY 10458-8571
Phone
(718) 733-2600
Fax
(718) 562-2281
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Prakash S Kancherla, M.D.NPI 1346336559
Title
President
Phone
(718) 733-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 130852 NY Primary

Addresses

Primary practice location

2358 Crotona Ave
Bronx, NY 10458-8571

Mailing address

2358 Crotona Ave
Bronx, NY 10458-8571
Phone (718) 733-2600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1508043993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 CROTONA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588571",
            "telephone_number": "718-733-2600",
            "fax_number": "718-562-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 CROTONA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588571",
            "telephone_number": "718-733-2600",
            "fax_number": "718-562-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.S.PRAKASH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "KANCHERLA",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-733-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "130852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.