Active NPI
Northeast Rheumatology Initiative PLLC
- Rheumatology Physician
- Castleton, NY
National Provider Identifier
1902399181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.