Organization Active NPI

Prasanna C Wickremesinghe MD PC

  • Gastroenterology Physician
  • Staten Island, NY
National Provider Identifier
1578724019
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PRASANNA C WICKREMESINGHE MD PC
Practice address
481 Bard Ave
Staten Island, NY 10310-2103
Phone
(718) 448-0865
Fax
(718) 816-8065
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mr. Prasanna C Wickremesinghe, MD
Title
Director
Phone
(718) 448-0865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

481 Bard Ave
Staten Island, NY 10310-2103

Mailing address

481 Bard Ave
Staten Island, NY 10310-2103
Phone (718) 448-0865

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1578724019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102103",
            "telephone_number": "718-448-0865",
            "fax_number": "718-816-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102103",
            "telephone_number": "718-448-0865",
            "fax_number": "718-816-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASANNA C WICKREMESINGHE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WICKREMESINGHE",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-448-0865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.