Organization Active NPI

P.Dhillon MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1861687592
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
223352 Issued in NY
Legal business name
P.DHILLON MD PC
Practice address
34 Plaza Street East
Suite 102
Brooklyn, NY 11238
Phone
(718) 369-4359
Fax
(718) 369-4360
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Perminder Dhillon, M.D.
Title
President
Phone
(718) 369-4359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 223352 NY Primary

Addresses

Primary practice location

34 Plaza Street East
Suite 102
Brooklyn, NY 11238

Mailing address

470 84TH St
Brooklyn, NY 11209-4712

Other identifiers 1

IdentifierTypeStateIssuer
02281758MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1861687592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLAZA STREET EAST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-369-4359",
            "fax_number": "718-369-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.DHILLON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "PERMINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-369-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "223352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02281758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.