PURNIMA M. KOTHARI PHYSICIAN PC NPI 1710193024

NPI Information

  • NPI: 1710193024
  • Provider Name: PURNIMA M. KOTHARI, PHYSICIAN, PC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 54 HEATHER LN
    LEVITTOWN, NY
    ZIP 11756
  • Phone: (516) 735-1116

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NPI Details

PURNIMA M. KOTHARI, PHYSICIAN, PC is an adolescent medicine pediatrics in Levittown, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PURNIMA M. KOTHARI, PHYSICIAN, PC NPI is 1710193024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

54 HEATHER LN
LEVITTOWN, NY
ZIP 11756-334
Phone: (516) 735-1116

The provider's authorized official is Purnima M Kothari .
The authorized official title is President and has the following contact phone number (516) 735-1116.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 1/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine146056NEW YORKYes
22080A0000XPediatricsAdolescent Medicine204375NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151A702MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
202005269OTHERNEW YORKMEDICAID GROUP
3A63054MEDICARE UPINNEW YORK
400637605MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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