Individual provider Active NPI

Shivani Purohit, MD

  • Rheumatology Physician
  • Airmont, NY
National Provider Identifier
1689820763
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
271850 Issued in NY
Practice address
327 Route 59
Airmont, NY 10952-3420
Phone
(845) 356-2900
NPI assigned
Aug 8, 2008
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 271850 NY Primary

Addresses

Primary practice location

327 Route 59
Airmont, NY 10952-3420

Mailing address

507 Airport Executive Park
Nanuet, NY 10954-5238
Phone (845) 262-5313

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131030000528 NY Practitioner - Rheumatology 1052546991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
271850NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Rheumatology CurrentSince Aug 13, 2021 Accepting new patients
Northeast Orthopedics and Sports Medicine PLLC CurrentSince May 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Aug 13, 2021 Accepting new patients
Northeast Orthopedics and Sports Medicine PLLC CurrentSince May 1, 2014 Accepting new patients

Locations

327 Route 59
Airmont, NY 10952
Phone (845) 356-2900

111 E 210th St
Bronx, NY 10467

408 Airport Executive Park
Nanuet, NY 10954
Phone (845) 425-0555

507 Airport Executive Park
Nanuet, NY 10954
Phone (845) 262-5313

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1689820763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AIRPORT EXECUTIVE PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545238",
            "telephone_number": "845-262-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ROUTE 59",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523420",
            "telephone_number": "845-356-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "SHIVANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "271850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

Verify at the official NPI Registry.