Active NPI
Fishkill Medical & Associates PLLC
- Family Medicine Physician
- Wappingers Falls, NY
National Provider Identifier
1902068802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FISHKILL MEDICAL & ASSOCIATES PLLC
- Practice address
- 66 Middlebush Rd
Suite 202
Wappingers Falls, NY 12590-4098 - Phone
- (845) 896-5900
- Fax
- (845) 896-4545
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suresh Chandani
- Title
- MD
- Phone
- (845) 896-5900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Exclusive Provider Organization | 302F00000X | 147940 | NY | |
| Exclusive Provider Organization | 302F00000X |
Addresses
Primary practice location
66 Middlebush Rd
Suite 202
Wappingers Falls, NY 12590-4098
Mailing address
66 Middlebush Rd
Suite 202
Wappingers Falls, NY 12590-4098
Phone (845) 896-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHOV | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
66 Middlebush Rd
Ste 202
Wappingers Fl, NY 12590
Phone (845) 896-5900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Wappingers Falls, NY
- NPI 1669797163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1902068802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MIDDLEBUSH RD",
"address_2": "SUITE 202",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904098",
"telephone_number": "845-896-5900",
"fax_number": "845-896-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MIDDLEBUSH RD",
"address_2": "SUITE 202",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904098",
"telephone_number": "845-896-5900",
"fax_number": "845-896-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FISHKILL MEDICAL & ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "CHANDANI",
"authorized_official_first_name": "SURESH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "845-896-5900"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NY",
"license": "147940",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CHOV",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.