Organization Active NPI

Dhayaparan Medical P.C.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1043456841
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239481 Issued in NY
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

Updated by the provider on Dec 29, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 239481 NY Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01822357MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.