Vijaya L Dasari, MD, DGO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

210954 Issued in NY

Practice address

90 Crystal Run Rd
Suite 403
Middletown, NY 10941-7101

Phone

(845) 703-8806

Fax

(845) 703-9058

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Bon Secours Charity Health System Medical Group, P.C.

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1487694345

  Family Medicine

  NPD (past)
• Horizon Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Yorktown Heights, NY
  • NPI 1386520021
  NPD (past)
• Timber Ridge Medical Assoc, P.C.

  • Pulmonary Disease Physician
  • Middletown, NY
  • NPI 1073647673
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720003361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240029",
            "telephone_number": "845-615-1141",
            "fax_number": "845-294-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CRYSTAL RUN RD",
            "address_2": "SUITE 403",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417101",
            "telephone_number": "845-703-8806",
            "fax_number": "845-703-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARI",
        "first_name": "VIJAYA",
        "middle_name": "L",
        "credential": "MD, DGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Dardati, MD
• Visanee Isararahanich Darin, MD
• Eleni M. Dariotis, LMHC, MAC, BCPC,
• Tanya Darlington, DDS
• Anthony Rocco Darmiento, MD
• Karen Paige Dash
• Dassa Orthopedic Medical Services, P.C.
• Dassa Orthopedic Medical Services, PC
• Manveen K. Dassan, MD
• Ann M. Daugherty, COTA

• Family Medicine Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.