Pudchong Srisethnil, MD, PA
NPI 1952744872 · Endocrinology, Diabetes & Metabolism Physician · Paterson, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pudchong Srisethnil, MD, PA is a Endocrinology, Diabetes & Metabolism Physician organization in Paterson, NJ (NPI 1952744872).
Provider details
- NPI number
- 1952744872
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pudchong Srisethnil, President/Physician(973) 278-4673
- License
- MA30779 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2013-04-10
Frequently asked questions
- What is Pudchong Srisethnil, MD, PA's NPI number?
- Pudchong Srisethnil, MD, PA's National Provider Identifier (NPI) is 1952744872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pudchong Srisethnil, MD, PA?
- Pudchong Srisethnil, MD, PA is classified in the NPPES registry as Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pudchong Srisethnil, MD, PA located?
- Pudchong Srisethnil, MD, PA's practice location on file with NPPES is 561 E 28th St, Paterson, NJ 07504-1862.
- What is Pudchong Srisethnil, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Pudchong Srisethnil, MD, PA is (973) 278-4673.
- Does Pudchong Srisethnil, MD, PA accept Medicare?
- Pudchong Srisethnil, MD, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pudchong Srisethnil, MD, PA?
- The authorized official listed on Pudchong Srisethnil, MD, PA's NPPES record is Pudchong Srisethnil, President/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pudchong Srisethnil, MD, PA's NPI active?
- Yes — Pudchong Srisethnil, MD, PA's NPI (1952744872) is active in the NPPES registry as of the last update on 2013-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.