Organization Active NPI

Baljit Kaur Medical PLLC

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1144085689
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BALJIT KAUR MEDICAL PLLC
Practice address
5 Howard Ave
New Hyde Park, NY 11040-3510
Phone
(516) 849-8235
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Baljit Kaur, MDNPI 1700330628
Title
MD
Phone
(516) 849-8235

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5 Howard Ave
New Hyde Park, NY 11040-3510

Mailing address

5 Howard Ave
New Hyde Park, NY 11040-3510
Phone (516) 849-8235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410002427 NY Part B Supplier - Clinic/Group Practice 0840638755 Receives reassigned benefits from 2 practitioners
Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

1575 Hillside Ave
Ste LL2
New Hyde Park, NY 11040
Phone (516) 688-0200

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": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1144085689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOWARD AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403510",
            "telephone_number": "516-849-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOWARD AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403510",
            "telephone_number": "516-849-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALJIT KAUR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "BALJIT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-849-8235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Feb 23, 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.