Individual provider Active NPI

Prashant Koneru, M.D.

  • Specialist
  • Yorktown Heights, NY
National Provider Identifier
1710169719
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2448261 Issued in NY
Practice address
2050 Saw Mill River Rd
Suite 1
Yorktown Heights, NY 10598-4143
Phone
(914) 455-3101
Fax
(914) 455-3101
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2448261 NY Primary

Addresses

Primary practice location

2050 Saw Mill River Rd
Suite 1
Yorktown Heights, NY 10598-4143

Mailing address

2050 Saw Mill River Rd
Suite 1
Yorktown Heights, NY 10598-4143
Phone (914) 455-3101

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

LicenseStateTypeSpecialty
2448261NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1710169719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "address_2": "SUITE 1",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984143",
            "telephone_number": "914-455-3101",
            "fax_number": "914-455-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "address_2": "SUITE 1",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984143",
            "telephone_number": "914-455-3101",
            "fax_number": "914-455-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONERU",
        "first_name": "PRASHANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2448261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.