Organization Active NPI

Vijaya L Chandrakant MD P.C

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1154476257
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
141332 Issued in NY
Legal business name
VIJAYA L CHANDRAKANT MD P.C
Practice address
1468 Richmond Ave # B
Staten Island, NY 10314-1550
Phone
(718) 982-8922
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Vijaya L Chandrakant, M.D
Title
Physician
Phone
(718) 982-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 141332 NY Primary

Addresses

Primary practice location

1468 Richmond Ave # B
Staten Island, NY 10314-1550

Mailing address

1468 Richmond Ave # B
Staten Island, NY 10314-1550
Phone (718) 982-8922

Other identifiers 1

IdentifierTypeStateIssuer
00480075MedicaidNY

National Provider Directory

National Provider Directory

Locations

1468 Richmond Ave
#B
Staten Island, NY 10314
Phone (718) 982-8922

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1154476257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 RICHMOND AVE # B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141550",
            "telephone_number": "718-982-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 RICHMOND AVE # B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141550",
            "telephone_number": "718-982-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA L CHANDRAKANT MD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "CHANDRAKANT",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-982-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "141332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.