Organization Active NPI

Nassau Medical Practice, PC

  • Anesthesiology Physician
  • Inwood, NY
National Provider Identifier
1053627109
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232151 Issued in NY
Legal business name
NASSAU MEDICAL PRACTICE, PC
Practice address
270 Doughty Blvd
Inwood, NY 11096-1367
Phone
(212) 679-0009
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Chaitanya Kadiyala, MD
Title
Ceo
Phone
(212) 679-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 232151 NY Primary

Addresses

Primary practice location

270 Doughty Blvd
Inwood, NY 11096-1367

Mailing address

PO Box 383
Greenvale, NY 11548-0383
Phone (212) 679-0009

National Provider Directory

National Provider Directory

Locations

270 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-5959

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1053627109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115480383",
            "telephone_number": "212-679-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961367",
            "telephone_number": "212-679-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-679-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.