Active NPI
Satbachan Dhanjal
- Primary Care Clinic/Center
- Queens Village, NY
National Provider Identifier
1013356815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 135215
- Legal business name
- SATBACHAN DHANJAL
- Practice address
- 20707 Hillside Ave
Queens Village, NY 11427-1732 - Phone
- (718) 464-9727
- Fax
- (718) 464-9735
- NPI assigned
- Jun 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Satbachan S Dhanjal, MD
- Title
- Owner
- Phone
- (718) 464-9727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 135215 | NY | Primary |
Addresses
Primary practice location
20707 Hillside Ave
Queens Village, NY 11427-1732
Mailing address
20707 Hillside Ave
Queens Village, NY 11427-1732
Phone (718) 464-9727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760433031 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Queens Village, NY
- NPI 1760433031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1013356815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20707 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271732",
"telephone_number": "718-464-9727",
"fax_number": "718-464-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20707 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271732",
"telephone_number": "718-464-9727",
"fax_number": "718-464-9735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATBACHAN DHANJAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "DHANJAL",
"authorized_official_first_name": "SATBACHAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-464-9727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "135215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760433031",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.