Individual provider Active NPI

Satvir Hundal, MPT

  • Physical Medicine & Rehabilitation Physician
  • Moriches, NY
National Provider Identifier
1013471408
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
043173-1 Issued in NY
Practice address
225 Montauk Hwy Ste 109
Moriches, NY 11955-1411
Phone
(631) 878-7012
Fax
(631) 878-7015
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 043173-1 NY Primary

Addresses

Primary practice location

225 Montauk Hwy Ste 109
Moriches, NY 11955-1411

Mailing address

225 Montauk Hwy Ste 109
Moriches, NY 11955-1411
Phone (631) 878-7012

Other identifiers 1

IdentifierTypeStateIssuer
043173-1OtherNYSTATE OF NEW YORK EDUCATION DEPARTMENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
043173-1NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1013471408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY STE 109",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551411",
            "telephone_number": "631-878-7012",
            "fax_number": "631-878-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY STE 109",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551411",
            "telephone_number": "631-878-7012",
            "fax_number": "631-878-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDAL",
        "first_name": "SATVIR",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "043173-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK EDUCATION DEPARTMENT",
            "identifier": "043173-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.