Rajshree Puri, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

222202 Issued in NY

Practice address

12 N 7TH Ave
Dept of Physical Medicine and Rehabilitation
Mt Vernon, NY 10550-2026

Phone

(914) 361-6095

Fax

(914) 371-1131

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1629091848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "10546",
            "telephone_number": "914-361-6095",
            "fax_number": "914-371-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "address_2": "DEPT OF PHYSICAL MEDICINE AND REHABILITATION",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-361-6095",
            "fax_number": "914-371-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "RAJSHREE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "222202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02180225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarra Prince
• Professional Caring Hands
• Prompt Transit Service, Inc.
• Providence Medical Services PLLC (AFC Urgent Care Mount Vernon)
• Catherine B Puangco, FNP
• Muhammad Irfan Qadir, M.D.
• Quantum Medical Diagnostic, PC
• Michael Quarshie
• Luis Manuel Quintana, MS SPECIAL EDUCATION
• Lorceli Quintos, MD

• Physical Medicine & Rehabilitation Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.