Individual provider Active NPI

Pauline Suwandhi, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1881982460
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
004019 Issued in NY
Practice address
4141 Carpenter Ave
Montefiore Medical Center Wakefield Division
Bronx, NY 10466-2600
Phone
(718) 920-9041
Fax
(718) 920-9043
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 004019 NY Primary

Addresses

Primary practice location

4141 Carpenter Ave
Montefiore Medical Center Wakefield Division
Bronx, NY 10466-2600

Mailing address

PO Box 1239
Scarsdale, NY 10583-9239
Phone (914) 636-8591

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1881982460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105839239",
            "telephone_number": "914-636-8591",
            "fax_number": "914-633-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 CARPENTER AVE",
            "address_2": "MONTEFIORE MEDICAL CENTER WAKEFIELD DIVISION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662600",
            "telephone_number": "718-920-9041",
            "fax_number": "718-920-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUWANDHI",
        "first_name": "PAULINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "004019",
            "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 Oct 4, 2012; 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.