Individual provider Active NPI

Jaydeep Shivaji Kadam, M.D.

  • Gastroenterology Physician
  • Syosset, NY
National Provider Identifier
1023254612
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
238095 Issued in NY
Practice address
237 Jericho Tpke
Syosset, NY 11791-4513
Phone
(516) 584-6400
NPI assigned
Jan 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 238095 NY Primary

Addresses

Primary practice location

237 Jericho Tpke
Syosset, NY 11791-4513

Mailing address

237 Jericho Tpke
Syosset, NY 11791-4513
Phone (516) 584-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000131 NY Practitioner - Gastroenterology 1052465606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Medical PCGroup PAC ID 8426102070, 4 clinicians

Practice addresses (Care Compare)

121 Eileen Way
Syosset, NY 11791-5302
Phone (516) 584-6400

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 584-6400

237 Jericho Tpke
Syosset, NY 11791-4513
Phone (516) 584-6400

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 584-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Medical P.C. Gastroenterology CurrentSince Jul 1, 2009 Accepting new patients

Locations

35 Spencer St
Ste 200
Brooklyn, NY 11205

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400

121 Eileen Way
Syosset, NY 11791
Phone (516) 496-4964

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1023254612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914513",
            "telephone_number": "516-584-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914513",
            "telephone_number": "516-584-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAM",
        "first_name": "JAYDEEP",
        "middle_name": "SHIVAJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "238095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.