Harvinder K. Chaudhry MD
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Montgomery, NY
NPI 1891069860 · NPPES record last updated Mar 8, 2012
Key facts
- NPI
- 1891069860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- HARVINDER K. CHAUDHRY MD
- Practice address
- 20 Walnut St
Montgomery, NY 12549-2260 - Phone
- (845) 457-3979
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Claudette Schaad
- Title
- Office Manager
- Phone
- (845) 457-3979
Practitioners 1
-
Harvinder Kaur Chaudhry, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0912331 | Harvinder K Chaudhry MD | Certificate of waiver | Feb 29, 2028 |
National Provider Directory
Locations
20 Walnut St
Montgomery, NY 12549
Phone (845) 457-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
20 Walnut St
Montgomery, NY 12549-2260
Mailing address
20 Walnut St
Montgomery, NY 12549-2260
NPI Registry JSON
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1891069860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WALNUT ST",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WALNUT ST",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492260",
"telephone_number": "845-457-3979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVINDER K. CHAUDHRY MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "SCHAAD",
"authorized_official_first_name": "CLAUDETTE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "845-457-3979"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, NY
- Jodie Alana Gewing
- Constance F Griffin
- Dana Guastella
- Diane Lorraine Hagerty
- Harvey & Phelps, LLC
- Bret Smith Haydock
- Karyn R Haydock
- Teresa Ann Hazirjian
- Heather Aldridge-Venitucci, LCSW, PLLC
- Alyssa V. Heins
All providers in Montgomery, NY · Geriatric Medicine (Internal Medicine) 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 Mar 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.