NPIMap

Organization Active NPI

Mohan Rao Badhey MD PC

  • Specialist
  • Syosset, NY
National Provider Identifier
1235200940
Registry record updated Jul 18, 2007
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
119330 Issued in NY
Legal business name
MOHAN RAO BADHEY MD PC
Practice address
170 Stirrup LN
Syosset, NY 11791-4417
Phone
(718) 894-4200
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mohan Badhey
Title
Sole Proprieter
Phone
(718) 894-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 119330 NY Primary

Addresses

Primary practice location

170 Stirrup LN
Syosset, NY 11791-4417

Mailing address

170 Stirrup LN
Syosset, NY 11791-4417
Phone (718) 894-4200

Other identifiers 1

IdentifierTypeStateIssuer
00223574MedicaidNY

National Provider Directory

National Provider Directory

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1235200940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 STIRRUP LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914417",
            "telephone_number": "718-894-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 STIRRUP LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914417",
            "telephone_number": "718-894-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN RAO BADHEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "BADHEY",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-894-4200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "119330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.