Individual provider Active NPI

Sanjay Galhotra, MD

  • Internal Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1124344411
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264643 Issued in NY
Practice address
200 Motor Pkwy Ste C-16
Hauppauge, NY 11788-5114
Phone
(631) 638-4933
Fax
(631) 638-4937
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 264643 NY
Internal Medicine Physician 207R00000X 264643 NY Primary

Addresses

Primary practice location

200 Motor Pkwy Ste C-16
Hauppauge, NY 11788-5114

Mailing address

200 Motor Pkwy Ste C-16
Hauppauge, NY 11788-5114
Phone (631) 638-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000140 NY Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 3779779129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1560

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1560

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752

221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (632) 638-1000

PO Box
Suite 1554
Stony Brook, NY 11790-0989

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003630NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 29, 2011 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Oct 1, 2023 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Dec 29, 2011 Accepting new patients
Shahzad Iqbal Physician PLLC PastSince Nov 23, 2018 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation PastSince Aug 1, 2023 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300

111 E 210th St
Bronx, NY 10467

200 Motor Pkwy
Ste C16
Hauppauge, NY 11788
Phone (631) 638-4933

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sgalhotra66139@northwell.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1124344411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE C-16",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885114",
            "telephone_number": "631-638-4933",
            "fax_number": "631-638-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE C-16",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885114",
            "telephone_number": "631-638-4933",
            "fax_number": "631-638-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALHOTRA",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "264643",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.