PRESTIGE 2 – NPI #1174222830
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

PRESTIGE 2 is a provider located in CROWN POINT, IN. NPPES has assigned the NPI number 1174222830 to PRESTIGE 2 on March 01, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jul 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRESTIGE 2 below.

NPI Profile for
PRESTIGE 2

NPI Number
1174222830
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRESTIGE 2
Primary location
11360 BROADWAY
CROWN POINT, IN 46307-7197
Phone: (219) 301-2624 Fax:
1 Other location(s):
7134 Calumet Ave
Hammond, IN 46324-2406
Phone: (219) 301-2624
Mailing address
PO BOX 578220
CHICAGO, IL 60657-7303
Phone: (773) 935-4700 Fax:
Organization Subpart
No
Authorized Official
JAY JOSHI
OWNER
Phone: (630) 430-8024
Updated
Certification Date
Jul 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.