Plum Halo Medical, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PLUM HALO MEDICAL, PLLC

Practice address

233 Route 17
Suite 207
Tuxedo Park, NY 10987-4406

Phone

(845) 915-3061

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Luis Collar, M.D.

Title

President and Chief Medical Officer

Phone

(845) 915-3061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1700450087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ROUTE 17",
            "address_2": "SUITE 207",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874406",
            "telephone_number": "845-915-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ROUTE 17",
            "address_2": "SUITE 207",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874406",
            "telephone_number": "845-915-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM HALO MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "COLLAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "845-915-3061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Tuxedo Park, NY
• Providers in Tuxedo Park, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.