Active NPIIndividual provider

Nathallie Pokasuwan, MD

Family Medicine, Geriatric Medicine in New York, New York

NPI Number1285983015
Practice location
5141 Broadway, Department Of Geriatrics And Palliative Care, New York, NY 10034
Fax
—
Last updated
August 2, 2024

Nathallie Pokasuwan is a Family Medicine, Geriatric Medicine based in New York, NY. Nathallie Pokasuwan practices in New York, NY and has the professional credentials of MD. The NPI Number for Nathallie Pokasuwan is 1285983015 and holds a License No. MD469516 (PA). The current practice location address for Nathallie Pokasuwan is 5141 Broadway, Department Of Geriatrics And Palliative Care, New York, NY 10034 and can be reached out via phone at 212-932-4000.

Provider Profile Details

NPI Number
1285983015
Provider Name
Nathallie Pokasuwan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5141 Broadway, Department Of Geriatrics And Palliative Care, New York, NY 10034
Phone Number
212-932-4000
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2012
Last Update Date
August 2, 2024
Certification Date
August 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5141 Broadway
Department Of Geriatrics And Palliative Care
New York, NY 10034
Zip
10034
Phone Number
212-932-4000
New York, NY 10034Get directions →

Provider Business Mailing Address Details

Address
5141 Broadway
Department Of Geriatrics And Palliative Care
New York, NY 10034
City
New York
State
NY
Zip
10034

License Information

License Number (1)
MD469516
License State (1)
PA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
265060
License State (2)
MA
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
323184
License State (3)
NY
License Number (4)
323184
License State (4)
NY
Taxonomy (4)
Family Medicine, Geriatric Medicine · 207QG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nathallie Pokasuwan, MD?

The NPI number of Nathallie Pokasuwan, MD is 1285983015. It was assigned on September 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Nathallie Pokasuwan, MD?

Nathallie Pokasuwan, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in PA under license number MD469516.

Where does Nathallie Pokasuwan, MD practice?

The practice location is 5141 Broadway, Department Of Geriatrics And Palliative Care, New York, NY 10034. The office can be reached at 212-932-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285983015 directly on the NPPES registry website.

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