Individual provider Active NPI

Neil Mukerji, MD, FAPA

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1861609950
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME161282 Issued in FL
Practice address
4237 S Pipkin Rd BLDG 2
Lakeland, FL 33811-1442
Phone
(863) 701-2470
NPI assigned
May 17, 2007
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME161282 FL Primary

Addresses

Primary practice location

4237 S Pipkin Rd BLDG 2
Lakeland, FL 33811-1442

Mailing address

4237 S Pipkin Rd BLDG 2
Lakeland, FL 33811-1442
Phone (863) 701-2470

Other names 1

  • Dr. Indroneil Mukerji Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME161282FLMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: imukerji13129@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1861609950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 S PIPKIN RD BLDG 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111442",
            "telephone_number": "863-701-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 S PIPKIN RD BLDG 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111442",
            "telephone_number": "863-701-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKERJI",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD, FAPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME161282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDRONEIL",
            "last_name": "MUKERJI",
            "prefix": "DR.",
            "credential": "MD, FAPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.