1. Home
  2. Directory
  3. New Jersey
  4. Paterson
  5. Internal Medicine
  6. NPI Profile

PUDCHONG SRISETHNIL, MD, PA
NPI 1952744872
Internal Medicine - Endocrinology, Diabetes & Metabolism in Paterson, NJ

Active since April 10, 2013
561 E 28TH ST, PATERSON, NJ 07504(973) 278-4673(973) 278-0450 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pudchong Srisethnil, Md, Pa NPPES

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

PUDCHONG SRISETHNIL, MD, PA (NPI 1952744872) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Paterson, New Jersey and active in the NPI registry since April 2013. The organization lists Pudchong Srisethnil, President/physician, as its authorized official.

NPPES Registry Identity

NPI1952744872
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePUDCHONG SRISETHNIL, MD, PA
Location Address561 E 28TH STPaterson, NJ 07504-1862
Mailing Address561 E 28th StPaterson, NJ 07504-1862 · (973) 278-4673 · Fax (973) 278-0450
Phone(973) 278-4673
Fax(973) 278-0450
Organization SubpartNo
Authorized OfficialPudchong SrisethnilPresident/physician · (973) 278-4673
Enumeration DateApril 10, 2013
✔ NPI 1952744872 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
Open in Google Maps ↗

Other Identifiers 2

Medicare PINSR150152NJ
Medicare UPINC53578NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
DR. PUDCHONG S SRISETHNIL M.D., F.A.C.E.
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, MD, PA's NPI number?

The NPI number for Pudchong Srisethnil, MD, PA is 1952744872. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Pudchong Srisethnil, MD, PA located?

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

What is Pudchong Srisethnil, MD, PA'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, MD, PA was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.