PUDCHONG SRISETHNIL, MD, PA
NPI 1952744872
Internal Medicine - Endocrinology, Diabetes & Metabolism in Paterson, NJ
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pudchong Srisethnil, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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.
PATERSON, NJ 07504
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.
Is Pudchong Srisethnil, MD, PA enrolled in Medicare?
Yes. Pudchong Srisethnil, MD, PA is registered in the Medicare PECOS enrollment system.
When is Pudchong Srisethnil, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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.
# Pudchong Srisethnil, Md, Pa · NPI 1952744872
Endocrinology, Diabetes & Metabolism organization in Paterson, New Jersey. Organization record, active in the CMS NPPES registry since April 10, 2013.
## Identity
- **NPI:** 1952744872 (Entity type: Organization)
- **Enumerated:** April 10, 2013
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Pudchong Srisethnil, PRESIDENT/PHYSICIAN
## Practice location
- **Address:** 561 E 28TH ST, Paterson, NJ 07504-1862
- **Phone:** (973) 278-4673 · **Fax:** (973) 278-0450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2013
- **Other identifiers:** Medicare PIN SR150152 (NJ); Medicare UPIN C53578 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1952744872) · Data from the CMS NPPES public registry.