DR. DOUGLAS R PUDER MD
NPI 1265506919
Pediatrics in Nanuet, NY

Active since November 17, 2006PECOS Enrolled
35 SMITH ST, NANUET, NY 10954(845) 623-7100(845) 732-8440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Douglas R Puder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS R PUDER MD (NPI 1265506919) is an individual pediatrics provider in Nanuet, New York, licensed in New York (158193) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265506919
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DOUGLAS R PUDERCredential: MD
Location Address35 SMITH STNanuet, NY 10954-2914
Mailing Address35 Smith StNanuet, NY 10954-2914 · (845) 623-7100 · Fax (845) 732-8440
Fax(845) 732-8440
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265506919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 158193
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
35 SMITH ST, Nanuet, NY 10954

Other Identifiers 3

Medicare ID-Type Unspecified5B6971NY
Medicaid01020180NY
Medicare UPINA60297NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas R Puder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Puder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
25 SMITH ST STE 210
Nanuet, NY 10954
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
Pediatrics
25 SMITH ST STE 210
Nanuet, NY 10954
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
35 SMITH ST
NANUET, NY 10954
Pediatrics
35 SMITH ST
NANUET, NY 10954
Nurse Practitioner (Family)
35 SMITH ST
NANUET, NY 10954
Nurse Practitioner (Pediatrics)
35 SMITH ST
NANUET, NY 10954
Pediatrics
35 SMITH ST
NANUET, NY 10954
Pediatrics
35 SMITH ST
NANUET, NY 10954
Pediatrics
35 SMITH ST
NANUET, NY 10954
Pediatrics
35 SMITH ST
NANUET, NY 10954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Puder's NPI number?

The NPI number for Douglas Puder is 1265506919. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Douglas Puder located?

Douglas Puder practices at 35 Smith St, Nanuet, NY 10954. The listed phone number is (845) 623-7100.

What is Douglas Puder's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Puder enrolled in Medicare?

Yes. Douglas Puder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Puder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Puder reassigns Medicare benefits to 2 organizations: Medical Services Of Manhasset, PC (Nanuet, NY) and Phelps Faculty Medical Affiliates University Faculty Practice Corpor (Nanuet, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Puder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Puder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.