NPIMap

Organization Active NPI

Medicheck Specialty LLC

Doing business as Medicheck Specialty MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1083945422
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA66725 Issued in NJ
Legal business name
MEDICHECK SPECIALTY LLC
Doing business as
Medicheck Specialty MD
Practice address
1602 Saint Nicholas Ave
New York, NY 10040-3311
Phone
(212) 795-4544
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Ajay K. Agarwala, MDNPI 1366415465
Title
President
Phone
(908) 222-8774

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA66725 NJ Primary
Nuclear Cardiology Physician 207UN0901X MA66725 NJ
Ophthalmology Physician 207W00000X 190087-1 NY

Addresses

Primary practice location

1602 Saint Nicholas Ave
New York, NY 10040-3311

Mailing address

1308 Centennial Ave
Suite 345
Piscataway, NJ 08854-4324
Phone (908) 222-8774

Other names 1

  • Medicheck Specialty MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1083945422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CENTENNIAL AVE",
            "address_2": "SUITE 345",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544324",
            "telephone_number": "908-222-8774",
            "fax_number": "908-222-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403311",
            "telephone_number": "212-795-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICHECK SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "AGARWALA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-222-8774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA66725",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "MA66725",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "190087-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicheck Specialty MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.