Organization Active NPI

Somvanshi Medical, P.C.

  • Psychiatry Physician
  • New Hyde Park, NY
National Provider Identifier
1083455463
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOMVANSHI MEDICAL, P.C.
Practice address
42 Rhodes Dr
New Hyde Park, NY 11040-3528
Phone
(718) 564-0806
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Saurabh SomvanshiNPI 1891147047
Title
Director
Phone
(718) 564-0806

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

42 Rhodes Dr
New Hyde Park, NY 11040-3528

Mailing address

2417 Jericho Tpke Ste 177
New Hyde Park, NY 11040-4710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260108000303 NY Part B Supplier - Clinic/Group Practice 4183100332 Receives reassigned benefits from 2 practitioners
Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory
Tax ID family
Somvanshi Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2417 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 672-8841

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1083455463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 JERICHO TPKE STE 177",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RHODES DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403528",
            "telephone_number": "718-564-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMVANSHI MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "SOMVANSHI",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-564-0806"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.