Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225583180 Individual Practitioner Female Practitioner

Dr. Mrudula Premkumar , MD

Pediatrics • Nyack, NY

Professional Overview & Biography Verified Profile Summary

Dr. Mrudula Premkumar, MD is a registered healthcare professional specializing in Pediatrics in Nyack, NY. Practice services are available at 160 N MIDLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 N Midland Ave

Nyack, NY 109601912

Telephone 9736156662
Associated Practice Facility / Clinic
🏢 Montefiore Nyack Hospital Facility NPI 1104808062

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Nyack, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Nyack, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 299538

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristine Rivera , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013108182

Certified Registered Nurse Anesthetist

Dr. Prem Mehta , MD

Anesthesiology

NPI 1013181023

Doctor of Medicine (M.D.)

Dr. Pamela Charney , MD

Internal Medicine

NPI 1023088952

Doctor of Medicine (M.D.)

Emma Gilles , PA

Physician Assistant - Medical

NPI 1033163043

Physician Assistant

Zena Justice , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033412960

Certified Registered Nurse Anesthetist

Dr. Boris Melnikau , MD

Internal Medicine

NPI 1043476062

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 08, 2019

Registered at 160 N MIDLAND AVE, NYACK, NY 109601912 (Tel: 9736156662)

📍
Updated Business Mailing Address July 08, 2019

Registered at 61 DAVIS AVE APT Q, WHITE PLAINS, NY 106051009 (Tel: 9736156662)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Pediatrics (License #299538 in NY)

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2016

Registered at 1650 GRAND CONCOURSE, BRONX- LEBANON HOSPITAL CENTER, BRONX, NY 10457 (Tel: 9736156662)

📍
Updated Business Mailing Address August 22, 2016

Registered at 1700 GRAND CONCOURSE, APT 14 E, BRONX, NY 104577646 (Tel: 9736156662)

👤
Provider Name / Credentials Updated August 22, 2016

Recorded as MRUDULA PREMKUMAR, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225583180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2016
Last Update: February 14, 2020
Sole Proprietor: No

Mailing Address

61 Davis Ave Apt Q

White Plains, NY 106051009

Phone: 9736156662

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.