P. Bader & N. Gondal M.D. , P.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

143018 Issued in NY

Legal business name

P. BADER & N. GONDAL M.D. , P.C.

Practice address

11247 Queens Blvd
Ste 209
Forest Hills, NY 11375-7417

Phone

(718) 263-7766

Fax

(718) 544-1981

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bruce Bader, MDNPI 1740281450

Title

President

Phone

(718) 263-7766

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 2

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

• Paul Bruce Bader, MD

  • Hematology & Oncology Physician
  • Rego Park, NY
  • NPI 1740281450
  NPD (past) Authorized official
• Nasir Mahmood Gondal, MD

  • Hematology & Oncology Physician
  • Rego Park, NY
  • NPI 1962403691
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1073653390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "STE 209",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417",
            "telephone_number": "718-263-7766",
            "fax_number": "718-544-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD",
            "address_2": "STE 209",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757417",
            "telephone_number": "718-263-7766",
            "fax_number": "718-544-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. BADER & N. GONDAL M.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-263-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "143018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL BADER",
            "identifier": "20D771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASIR GONDAL",
            "identifier": "191119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL BADER",
            "identifier": "0898142",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASIR GONDAL",
            "identifier": "808821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL BADER",
            "identifier": "143018",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL BADER",
            "identifier": "DS356",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01598425",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00840157",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASIR GONDAL",
            "identifier": "2050689",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASIR GONDAL",
            "identifier": "P379206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Ostiago, DDS
• Amber Owen
• Anya May Owens, NP
• Keturah Owens
• Arinze Saint Pierre Ozigboh
• Skylynn Pacheco, LMSW
• Alyssa Louise Nieves Pacia
• Shelley Beth Padilla
• Daiansa Padin, SPECIAL
• Mia Page-Warner

• Hematology & Oncology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.