Divya Palanisamy, MD
Psychiatry & Neurology, Neurology in New York, NY. Individual provider (NPI-1).
NPI number1962025825
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1962025825
- Entity type
- Individual (NPI-1)
- Name
- Divya Palanisamy
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2020
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEUROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 329195 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | ETLL-991 | MA |
Practice location
710 W 168th StNew York, NY 10032-3726
Phone 212-305-2500
Mailing address
710 W 168th StNew York, NY 10032-3726
Phone 212-305-2500
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