Organization Active NPI

Srinivasa Reddy Medical PC

  • Legal Medicine
  • Bronx, NY
National Provider Identifier
1831492792
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
218854 Issued in NY
Legal business name
SRINIVASA REDDY MEDICAL PC
Practice address
3950 White Plains Rd
Bronx, NY 10466-3026
Phone
(718) 882-2432
Fax
(718) 231-1067
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Srinivasa Reddy AdapaNPI 1083667935
Title
MD
Phone
(914) 374-3851

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 218854 NY Primary

Addresses

Primary practice location

3950 White Plains Rd
Bronx, NY 10466-3026

Mailing address

123 Logans Way
Hopewell Junction, NY 12533-3403
Phone (718) 882-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000507 NY Part B Supplier - Clinic/Group Practice 1557542230 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1831492792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LOGANS WAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333403",
            "telephone_number": "718-882-2432",
            "fax_number": "718-231-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663026",
            "telephone_number": "718-882-2432",
            "fax_number": "718-231-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVASA REDDY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "ADAPA",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-374-3851"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "218854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.