Dipak S Banker, M.D.
Individual provider Active NPI Pediatrics Physician · Haverstraw, NY
NPI 1851374870 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1851374870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 136434 (NY)
- Practice address
- 48 New Main St
Haverstraw, NY 10927-1812 - Phone
- (845) 429-3382
- Fax
- (845) 429-2057
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160627001190 | NY | Practitioner - Pediatric Medicine | 2961793773 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current |
Accepting new patients | |
| Sun River Health Inc | Current |
Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
31 W Broad St
Fl 3
Haverstraw, NY 10927
Phone (845) 429-4499
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 136434 | NY | Yes |
Addresses
Primary practice location
48 New Main St
Haverstraw, NY 10927-1812
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dipak.bankermd.p1@direct.crystalrun.nextgenshare.com | Direct |
Other providers in Haverstraw, NY
- Anew Horizon NP in Psychiatry PC
- Angielyns Fasttrack Care Family Nurse Practitioner PLLC
- Assisted Living at Northern Riverview
- Colleen Bailey
- Michelle Balandra
- Mary F Barrett
- Sarah Bergstein Teixeira
- Paul B Bloom
- Wendy Boisrond
- Dania Boncoeur
All providers in Haverstraw, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.