Organization Active NPI

Indu Garg MD P.C.

  • Specialist
  • Bronx, NY
National Provider Identifier
1063664225
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INDU GARG MD P.C.
Practice address
2705 Williamsbridge Rd
Bronx, NY 10469-4109
Phone
(718) 515-9800
Fax
(718) 231-7942
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Indu Garg, M.D.NPI 1710973847
Title
President
Phone
(718) 515-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2705 Williamsbridge Rd
Bronx, NY 10469-4109

Mailing address

15 Quail Run
Old Westbury, NY 11568-1044
Phone (718) 515-9800

Other practice location 1

1807 Randall Ave
Bronx, NY 10473-3617
Phone (718) 617-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190916003190 NY Part B Supplier - Clinic/Group Practice 4880923895 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY; Forest Hills, NY; Garden City, NY

National Provider Directory

National Provider Directory

Locations

2705 Williamsbridge Rd
Bronx, NY 10469
Phone (718) 231-5600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1063664225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 QUAIL RUN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681044",
            "telephone_number": "718-515-9800",
            "fax_number": "718-231-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "718-515-9800",
            "fax_number": "718-231-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 Randall Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104733617",
            "country_code": "US",
            "telephone_number": "718-617-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDU GARG MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-515-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.