Organization Active NPI

Rakesh K. Bhardwaj, M.D.

  • Pulmonary Disease Physician
  • Queens Village, NY
National Provider Identifier
1144405085
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
187625 Issued in NY
Legal business name
RAKESH K. BHARDWAJ, M.D.
Practice address
8945 Springfield Blvd
Queens Village, NY 11427-2513
Phone
(718) 217-2300
Fax
(718) 740-5374
NPI assigned
Jan 9, 2008
Last updated
Dec 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Rakesh K. Bhardwaj, M.D.NPI 1265511877
Title
President
Phone
(718) 217-2300

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
Pulmonary Disease Physician 207RP1001X 187625 NY Primary

Addresses

Primary practice location

8945 Springfield Blvd
Queens Village, NY 11427-2513

Mailing address

8945 Springfield Blvd
Queens Village, NY 11427-2513
Phone (718) 217-2300

Other identifiers 1

IdentifierTypeStateIssuer
01558112MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000837 NY Part B Supplier - Clinic/Group Practice 6800071499 Receives reassigned benefits from 1 practitioner
Practice locations: Queens Village, NY

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1144405085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272513",
            "telephone_number": "718-217-2300",
            "fax_number": "718-740-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272513",
            "telephone_number": "718-217-2300",
            "fax_number": "718-740-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH K. BHARDWAJ, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "BHARDWAJ",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-217-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "187625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01558112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.