Organization Active NPI

Prasert Itharat, MD

  • Surgery Physician
  • Yonkers, NY
National Provider Identifier
1790954949
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
127385 Issued in NY
Legal business name
PRASERT ITHARAT, MD
Practice address
249 Park Ave
Yonkers, NY 10703-2405
Phone
(914) 963-0042
Fax
(914) 964-7948
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Prasert Itharat, MDNPI 1043254865
Title
President
Phone
(914) 963-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 127385 NY Primary

Addresses

Primary practice location

249 Park Ave
Yonkers, NY 10703-2405

Mailing address

249 Park Ave
Yonkers, NY 10703-2405
Phone (914) 963-0042

National Provider Directory

National Provider Directory

Locations

249 Park Ave
Yonkers, NY 10703
Phone (914) 963-0042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1790954949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032405",
            "telephone_number": "914-963-0042",
            "fax_number": "914-964-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032405",
            "telephone_number": "914-963-0042",
            "fax_number": "914-964-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASERT ITHARAT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ITHARAT",
        "authorized_official_first_name": "PRASERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-963-0042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "127385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.