Organization Active NPI

Fishkill Medical & Associates PLLC

  • Family Medicine Physician
  • Wappingers Falls, NY
National Provider Identifier
1902068802
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 11, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CHOVMedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.