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DR. PUDCHONG S SRISETHNIL M.D., F.A.C.E.
NPI 1770690315
Internal Medicine - Endocrinology, Diabetes & Metabolism in Paterson, NJ

Active since August 23, 2006
561 E 28TH ST, PATERSON, NJ 07504(973) 278-4673(973) 278-0450 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Pudchong S Srisethnil M.d., F.a.c.e. NPPES

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

DR. PUDCHONG S SRISETHNIL M.D., F.A.C.E. (NPI 1770690315) is an individual endocrinology, diabetes & metabolism provider in Paterson, New Jersey, licensed in New Jersey (MA30779) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1770690315
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. PUDCHONG S SRISETHNILCredential: M.D., F.A.C.E.
Location Address561 E 28TH STPaterson, NJ 07504-1825
Mailing Address561 E 28th StPaterson, NJ 07504-1825 · (973) 278-4673 · Fax (973) 278-0450
Phone(973) 278-4673
Fax(973) 278-0450
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1770690315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · MA30779
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
561 E 28TH ST, Paterson, NJ 07504
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Other Identifiers 2

OtherMA30779NJ · License #
Other222385269NJ · Tax Id

Other Providers at the Same Location NPPES 2

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

MRS. AWILDA VASQUEZ YAMBO L.M.T.
Massage Therapist
561 E 28TH ST
PATERSON, NJ 07504
Passaic County (201) 640-5428
PUDCHONG SRISETHNIL, MD, PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
561 E 28TH ST
PATERSON, NJ 07504
Passaic County (973) 278-4673

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 Pudchong Srisethnil's NPI number?

The NPI number for Pudchong Srisethnil is 1770690315. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Pudchong Srisethnil located?

Pudchong Srisethnil practices at 561 E 28th St, Paterson, NJ 07504. The listed phone number is (973) 278-4673.

What is Pudchong Srisethnil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Pudchong Srisethnil was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.