Active NPI
Emerald Medical Practice PC
- Specialist
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- EMERALD MEDICAL PRACTICE PC
- Practice address
- 1743 S Sidewinder Drive Unit 114
Park City, UT 84060 - Phone
- (307) 840-9834
- Fax
- (833) 450-0933
- NPI assigned
- Feb 4, 2025
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pallabi Sanyal-Dey, MD
- Title
- President
- Phone
- (617) 256-3472
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1743 S Sidewinder Drive Unit 114
Park City, UT 84060
Mailing address
1743 Sidewinder Dr Unit 114
Park City, UT 84060-7322
Phone (307) 840-9834
National Provider Directory
National Provider DirectoryLocations
1743 Sidewinder Dr
Unit 114
Park City, UT 84060
Phone (307) 840-9834
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Park City, UT
- NPI 1245562594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1750195483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 SIDEWINDER DR UNIT 114",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607322",
"telephone_number": "307-840-9834",
"fax_number": "833-450-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 S SIDEWINDER DRIVE UNIT 114",
"city": "PARK CITY",
"state": "UT",
"postal_code": "84060",
"telephone_number": "307-840-9834",
"fax_number": "833-450-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-04",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "SANYAL-DEY",
"authorized_official_first_name": "PALLABI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-256-3472",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.