Dilip M Thakker Physician PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

186146-1 Issued in NY

Legal business name

DILIP M THAKKER PHYSICIAN PC

Doing business as

dilip m thakker md

Practice address

10 E 9TH Ave
Gloversville, NY 12078-1629

Phone

(518) 725-6868

Fax

(518) 725-6263

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dilip M Thakker, MD

Title

Owner

Phone

(518) 725-6868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dilip m thakker md Doing business as

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1598901720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EAST 9 AVE.",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781629",
            "telephone_number": "518-725-6868",
            "fax_number": "518-725-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 9TH AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781629",
            "telephone_number": "518-725-6868",
            "fax_number": "518-725-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILIP M THAKKER PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "THAKKER",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-725-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "186146-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01265810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dilip m thakker md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Kathryn Denero
• Victoria Deninno
• Mistee Denson, LMSW
• John Desieno, RPH.
• Jennifer S Desjardins, FNP-BC
• Julie Ann Dillenbeck-Juers, MS, APRN, FNP-BC
• Jamie Lynn Dingman, RN
• Dusty Dingmon, COTA/L
• Linda E Dohn, RN
• Alexandra Grace Dorsi, LMSW

• Health Maintenance Organization in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.