Organization Active NPI

Surinder P Jindal M D P C.

  • Neurology Physician
  • Wappingers Falls, NY
National Provider Identifier
1962779520
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
173284-1 Issued in NY
Legal business name
SURINDER P JINDAL M D P C.
Practice address
66 Middlebush Rd
Suite 304
Wappingers Falls, NY 12590-4098
Phone
(845) 896-6969
Fax
(845) 896-5711
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dr. Surinder Paul Jindal, M.D.NPI 1477653954
Title
Chairman
Phone
(845) 896-6969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 173284-1 NY Primary

Addresses

Primary practice location

66 Middlebush Rd
Suite 304
Wappingers Falls, NY 12590-4098

Mailing address

66 Middlebush Rd
Suite 304
Wappingers Falls, NY 12590-4098
Phone (845) 896-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000470 NY Part B Supplier - Clinic/Group Practice 6103088463 Receives reassigned benefits from 1 practitioner
Practice locations: Wappingers Falls, NY

National Provider Directory

National Provider Directory

Locations

1081 Main St
Ste B
Fishkill, NY 12524
Phone (585) 507-9608

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1962779520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE 304",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-896-6969",
            "fax_number": "845-896-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE 304",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-896-6969",
            "fax_number": "845-896-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURINDER P JINDAL M D P C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "845-896-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "173284-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.