Active NPI
Dipak Nandi
- Psychiatry Physician
- Elmhurst, NY
National Provider Identifier
1124366372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A161926
- Practice address
- 4142 Elbertson St
102
Elmhurst, NY 11373-1620 - Phone
- (718) 505-1300
- Fax
- (718) 505-1883
- NPI assigned
- Jan 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A161926 | NY | Primary |
Addresses
Primary practice location
4142 Elbertson St
102
Elmhurst, NY 11373-1620
Mailing address
4142 Elbertson St
102
Elmhurst, NY 11373-1620
Phone (718) 505-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A161926 | Other | NY | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161926 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1124366372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 ELBERTSON ST",
"address_2": "102",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731620",
"telephone_number": "718-505-1300",
"fax_number": "718-505-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 ELBERTSON ST",
"address_2": "102",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731620",
"telephone_number": "718-505-1300",
"fax_number": "718-505-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDI",
"first_name": "DIPAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "A161926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A161926",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.