Individual provider Active NPI

Unknown Adila

  • Student in an Organized Health Care Education/Training Program
  • New York City, NY
National Provider Identifier
1982278313
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Westchester Medical Center
100 Woods Road, Valhalla
New York City, NY 10595
Phone
(914) 493-7000
NPI assigned
May 19, 2021
Reactivated
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Westchester Medical Center
100 Woods Road, Valhalla
New York City, NY 10595

Mailing address

Westchester Medical Center, 100 Woods Road
Valhalla, NY 10595
Phone (914) 493-7000

Other practice location 1

79-01 Broadway Elmhurst Hospital Center
Elmhurst, NY 11373
Phone (718) 334-2156

Other names 1

  • Adila Kunhabdulla Chamavaliyathil Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1982278313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTCHESTER MEDICAL CENTER, 100 WOODS ROAD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTCHESTER MEDICAL CENTER",
            "address_2": "100 WOODS ROAD, VALHALLA",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79-01 Broadway Elmhurst Hospital Center",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-334-2156",
            "fax_number": "718-334-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADILA",
        "first_name": "UNKNOWN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-22",
        "deactivation_date": "2022-11-03",
        "reactivation_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADILA",
            "last_name": "CHAMAVALIYATHIL",
            "middle_name": "KUNHABDULLA",
            "credential": "MBBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.