Active NPI
Cindy Prettypaul, DO
- Family Medicine Physician
- New York, NY
National Provider Identifier
1952805533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 312149
- Practice address
- 2006 Madison Ave
New York, NY 10035-1217 - Phone
- (212) 633-0800
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 312149 | NY | Primary |
Addresses
Primary practice location
2006 Madison Ave
New York, NY 10035-1217
Mailing address
2006 Madison Ave
New York, NY 10035-1217
Phone (212) 633-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312149 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1952805533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351217",
"telephone_number": "212-633-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351217",
"telephone_number": "212-633-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTYPAUL",
"first_name": "CINDY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "312149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.