1629212592 NPI number — DR. PURVI SUDHIR PARIKH M.D.

Table of content: DR. PURVI SUDHIR PARIKH M.D. (NPI 1629212592)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629212592 NPI number — DR. PURVI SUDHIR PARIKH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARIKH
Provider First Name:
PURVI
Provider Middle Name:
SUDHIR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629212592
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
161 MADISON AVE.
Provider Second Line Business Mailing Address:
SUITE 3A
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-3823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-424-0400
Provider Business Mailing Address Fax Number:
646-742-0092

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 MADISON AVE.
Provider Second Line Business Practice Location Address:
SUITE 3A
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-3823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-424-0400
Provider Business Practice Location Address Fax Number:
646-742-0092
Provider Enumeration Date:
04/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  270965 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207K00000X , with the licence number: 270961-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04034479 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1629212592 . This is a "CHAMPVA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "1199 SEIU" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "CHN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 270965 . This is a "TOUCHSTONE HEALTH MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3735635 . This is a "EMBLEM HEALTH GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P4987688 . This is a "UHC OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2527348 . This is a "COVENTRY HEALTH-FIRST HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "ELDER PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 90002754 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "TRICARE HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "PHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6N9591-6N9592 . This is a "EMPIRE BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "MULTIPLAN PHCS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "FIDELIS CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "HUMANA CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "METROPLUS CHILD HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "UNITED HEATHLCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "TPRN THREE RIVERS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1629212592 . This is a "N.Y. EMPIRE PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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