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PAUL PROMADHATTVEDI M.D.
NPI 1992231294
General Practice in New York, NY

Active since May 04, 2017PECOS Enrolled
255 FORT WASHINGTON AVE APT 41, NEW YORK, NY 10032(917) 328-3232 Get Directions Write a Review

NPPES record last updated: December 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Promadhattvedi M.d. NPPES

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

PAUL PROMADHATTVEDI M.D. (NPI 1992231294) is an individual general practice provider in New York, New York, licensed in New York (301528) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Darby.

NPPES Registry Identity

NPI1992231294
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePAUL PROMADHATTVEDICredential: M.D.
Location Address255 FORT WASHINGTON AVE APT 41New York, NY 10032-1252
Mailing Address255 Fort Washington Ave, Apt 41New York, NY 10032-1229 · (917) 328-3232
Phone(917) 328-3232
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateDecember 15, 2019
✔ NPI 1992231294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 301528
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT212736 (PA)
255 FORT WASHINGTON AVE APT 41, New York, NY 10032
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Secondary Practice Location 1

Location 11500 Lansdowne AveDarby, PA 19023-1200 · Phone (610) 237-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Promadhattvedi M.d. 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.

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 Paul Promadhattvedi's NPI number?

The NPI number for Paul Promadhattvedi is 1992231294. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Paul Promadhattvedi located?

Paul Promadhattvedi practices at 255 Fort Washington Ave Apt 41, New York, NY 10032. The listed phone number is (917) 328-3232.

What is Paul Promadhattvedi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Paul Promadhattvedi enrolled in Medicare?

Yes. Paul Promadhattvedi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Promadhattvedi was last updated on December 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.