Active NPI
Dhayaparan Medical P.C.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1043456841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 239481
- Legal business name
- DHAYAPARAN MEDICAL P.C.
- Practice address
- 14203 60TH Ave
Flushing, NY 11355-5301 - Phone
- (718) 353-0533
- Fax
- (718) 353-0506
- NPI assigned
- Dec 29, 2008
- 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. Sellathurai Kanagarajah Dhayaparan, M.D.
- Title
- President
- Phone
- (718) 570-6976
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239481 | NY | Primary |
| Pediatrics Physician | 208000000X | 239481 | NY |
Addresses
Primary practice location
14203 60TH Ave
Flushing, NY 11355-5301
Mailing address
14203 60TH Ave
Flushing, NY 11355-5301
Phone (718) 353-0533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01822357 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
14203 60th Ave
Flushing, NY 11355
Phone (718) 353-0533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1043456841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14203 60TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555301",
"telephone_number": "718-353-0533",
"fax_number": "718-353-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14203 60TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555301",
"telephone_number": "718-353-0533",
"fax_number": "718-353-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHAYAPARAN MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "DHAYAPARAN",
"authorized_official_first_name": "SELLATHURAI",
"authorized_official_middle_name": "KANAGARAJAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-570-6976",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "239481",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "239481",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01822357",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.