Pediatric Associates of Putnam

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

111285 Issued in NY

Legal business name

PEDIATRIC ASSOCIATES OF PUTNAM

Practice address

667 Stoneleigh Ave
Suite 116
Carmel, NY 10512-2454

Phone

(845) 279-9652

Fax

(845) 279-3606

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne Bennie

Title

Medical Biller

Phone

(845) 279-9652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1649303058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 116",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-9652",
            "fax_number": "845-279-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 116",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-9652",
            "fax_number": "845-279-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF PUTNAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BENNIE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "845-279-9652",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "111285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiman Ishwerbhai Patel, MD
• Rahul Patel, MD
• Shivani D Patel, MD
• Paul Cathcart, MD PC
• Simone Peart, LCSW
• Claire Pell
• Brianna Rae Pellecchia, MHC-LP
• Daniel Villon Peneyra, MD, MHA
• Hasan A Pepaj, CASAC-T
• Sheila Perelman, LCSWR

• Pediatric Adolescent Medicine Physician in Carmel, NY
• Providers in Carmel, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.