Active NPI
Prolink Credentialing
- Specialist
- Stony Point, NY
National Provider Identifier
1538039722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PROLINK CREDENTIALING
- Practice address
- 84 Ba Mar Dr
Stony Point, NY 10980-2028 - Phone
- (845) 499-5362
- NPI assigned
- Nov 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prolink Credentialing
- Title
- Owner
- Phone
- (845) 499-5320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
84 Ba Mar Dr
Stony Point, NY 10980-2028
Mailing address
228 E Route 59
Nanuet, NY 10954-2905
Phone (845) 499-5302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1762819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1538039722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E ROUTE 59",
"city": "NANUET",
"state": "NY",
"postal_code": "109542905",
"telephone_number": "845-499-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 BA MAR DR",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109802028",
"telephone_number": "845-499-5362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROLINK CREDENTIALING",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "CREDENTIALING",
"authorized_official_first_name": "PROLINK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-499-5320"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.