Organization Active NPI

Dr. Shalini Patcha, M.D. P.C.

  • Neurology Physician
  • Huntington, NY
National Provider Identifier
1073709812
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
162516 Issued in NY
Legal business name
DR. SHALINI PATCHA, M.D. P.C.
Practice address
96 E Main St
Huntington, NY 11743-2816
Phone
(631) 351-5757
Fax
(631) 351-5756
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. Shalini Patcha
Title
Administrator
Phone
(631) 351-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 162516 NY Primary

Addresses

Primary practice location

96 E Main St
Huntington, NY 11743-2816

Mailing address

96 E Main St
Huntington, NY 11743-2816
Phone (631) 351-5757

National Provider Directory

National Provider Directory

Locations

96 E Main St
Huntington, NY 11743
Phone (631) 351-4840

Practitioners & affiliated clinicians

Practitioners 2

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1073709812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432816",
            "telephone_number": "631-351-5757",
            "fax_number": "631-351-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432816",
            "telephone_number": "631-351-5757",
            "fax_number": "631-351-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHALINI PATCHA, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "PATCHA",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-351-5757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "162516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.