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NPI Code Detail

MEDICARE: DR. JOTHI P VAIDYALINGAM M.D.

MEDICARE: DR. JOTHI P VAIDYALINGAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician220686NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110222329OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710931316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOTHI P VAIDYALINGAM M.D.
Provider Business Mailing Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-7575
Fax Number : 845-333-7139
Provider Business Practice Location Address
First Line : 2817 ALBANY POST RD
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-2132
Country : US
Telephone Number : 845-457-3155
Fax Number : 845-457-9036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 11/27/2023

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