Individual provider Active NPI

Prakasham Parsi, M.D.

  • Pediatrics Physician
  • Somerset, NJ
National Provider Identifier
1952319352
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09423200 Issued in NJ
Practice address
1323 State Route 27 Unit C
Somerset, NJ 08873-3457
Phone
(914) 354-9844
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-099737 OH
Pediatrics Physician 208000000X 262836 NY
Pediatrics Physician 208000000X 25MA09423200 NJ Primary

Addresses

Primary practice location

1323 State Route 27 Unit C
Somerset, NJ 08873-3457

Mailing address

101 Prospect Ave
Suite 1 C
Hackensack, NJ 07601-1911
Phone (201) 487-5018

Other identifiers 3

IdentifierTypeStateIssuer
02808042MedicaidNY
0418161MedicaidNJ
0071767MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000446 NY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4486824414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262836NYMDRegistered Nurse
25MA09423200NJMDPediatrics Physician
35-099737OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lamington Pediatrics, PC Pediatrics Past Accepting new patients
Primary Care Pediatrics PC Pediatrics Past Accepting new patients
Riverside Medical Group Past Accepting new patients
Montefiore Nyack Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEDAD/Endpoint/ECEDAD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1952319352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPECT AVE",
            "address_2": "SUITE 1 C",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011911",
            "telephone_number": "201-487-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 STATE ROUTE 27 UNIT C",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733457",
            "telephone_number": "914-354-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSI",
        "first_name": "PRAKASHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-099737",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "262836",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09423200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02808042",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418161",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.