Active NPI
Paresh Kothary, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1699812305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 146011
- Practice address
- 1 Brookdale PLZ
4TH FL. CHC BLDG
Brooklyn, NY 11212-3139 - Phone
- (718) 240-5842
- Fax
- (718) 485-6370
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 146011 | NY | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
4TH FL. CHC BLDG
Brooklyn, NY 11212-3139
Mailing address
158 W 27TH St
11TH FL. South
New York, NY 10001-6216
Phone (212) 563-2497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01137535 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146011 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1699812305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 W 27TH ST",
"address_2": "11TH FL. SOUTH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016216",
"telephone_number": "212-563-2497",
"fax_number": "212-563-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"address_2": "4TH FL. CHC BLDG",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-240-5842",
"fax_number": "718-485-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTHARY",
"first_name": "PARESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "146011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01137535",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.