Organization Active NPI

Orange Primary Medical Care, PLLC

  • Internal Medicine Physician
  • Newburgh, NY
National Provider Identifier
1811219645
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234544 Issued in NY
Legal business name
ORANGE PRIMARY MEDICAL CARE, PLLC
Practice address
5159 Route 9W
Newburgh, NY 12550-1452
Phone
(914) 643-2309
NPI assigned
Feb 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Shobhana Pathani
Title
Owner
Phone
(914) 643-2309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 234544 NY Primary

Addresses

Primary practice location

5159 Route 9W
Newburgh, NY 12550-1452

Mailing address

5159 Route 9W
Newburgh, NY 12550-1452

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1811219645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 ROUTE 9W",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501452",
            "telephone_number": "914-643-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PRIMARY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "PATHANI",
        "authorized_official_first_name": "SHOBHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-643-2309",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.