Active NPI
Priya V Kundu, D.O.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1891058012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 293527
- Practice address
- 200 Varick St RM 900
New York, NY 10014-7432 - Phone
- (212) 620-0340
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 293527 | NY | Primary |
Addresses
Primary practice location
200 Varick St RM 900
New York, NY 10014-7432
Mailing address
200 Varick St RM 900
New York, NY 10014-7432
Phone (212) 620-0340
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8652
Other names 1
- Priya Vijay
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www. |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293527 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1891058012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VARICK ST RM 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100147432",
"telephone_number": "212-620-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VARICK ST RM 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100147432",
"telephone_number": "212-620-0340"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-8652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNDU",
"first_name": "PRIYA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "293527",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.",
"affiliation": "N",
"address_1": "200 Varick St Rm 900",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100147432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PRIYA",
"last_name": "VIJAY",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.