NPIMap

Organization Active NPI

Pandurang M. Prabhu M.D., P.C

  • Primary Care Clinic/Center
  • New Windsor, NY
National Provider Identifier
1902853153
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
145840 Issued in NY
Legal business name
PANDURANG M. PRABHU M.D., P.C
Practice address
3131 Nys Route 9W
New Windsor, NY 12553-6755
Phone
(845) 561-2040
NPI assigned
May 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Pandurang M Prabhu, M.DNPI 1164479606
Title
Owner
Phone
(845) 561-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 145840 NY Primary

Addresses

Primary practice location

3131 Nys Route 9W
New Windsor, NY 12553-6755

Mailing address

3131 Nys Route 9W
New Windsor, NY 12553-6755
Phone (845) 561-2040

National Provider Directory

National Provider Directory

Locations

3131 US Route 9W
New Windsor, NY 12553
Phone (845) 561-0006

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902853153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NYS ROUTE 9W",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536755",
            "telephone_number": "845-561-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NYS ROUTE 9W",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536755",
            "telephone_number": "845-561-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDURANG M. PRABHU M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRABHU",
        "authorized_official_first_name": "PANDURANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-561-2040",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "145840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.