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NPI 1902254485, an individual provider in WASHINGTONVILLE, NY 10992.

NPI
1902254485
Entity type
Individual (type 1)
Status
Active (reactivated 2024-11-21)
Practice location
WASHINGTONVILLE, NY 10992
Enumerated
2016-05-25
Last updated
2024-11-21
Request
curl https://api.healthcare.dev/v1/providers/1902254485 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 163WM0705X Primary
  • 164W00000X

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1902254485 in the NPI Registry.

Use it

Look up 1902254485 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1902254485 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1902254485. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.

Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.