Organization Active NPI

Northeast Rheumatology Initiative PLLC

  • Rheumatology Physician
  • Castleton, NY
National Provider Identifier
1902399181
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
NORTHEAST RHEUMATOLOGY INITIATIVE PLLC
Practice address
2500 Pond VW Ste 202
Castleton, NY 12033-9776
Phone
(701) 202-7217
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Prashant Kaushik, MD
Title
Owner
Phone
(701) 202-7217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2500 Pond VW Ste 202
Castleton, NY 12033-9776

Mailing address

9 Shelbourne Dr
Loudonville, NY 12211-2608
Phone (701) 202-7217

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

National Provider Directory

National Provider Directory

Locations

2592 Western Ave
Ste 102
Altamont, NY 12009
Phone (518) 355-2060

582 New Loudon Rd
Ste 6
Latham, NY 12110
Phone (518) 782-7311

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1902399181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHELBOURNE DR",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122112608",
            "telephone_number": "701-202-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POND VW STE 202",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339776",
            "telephone_number": "701-202-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RHEUMATOLOGY INITIATIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "KAUSHIK",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-202-7217",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.