Organization Active NPI

Siddharth T.Pandya

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1255596672
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
189510 Issued in NY
Legal business name
SIDDHARTH T.PANDYA
Practice address
127 St.Nicholas Ave.
Brooklyn, NY 11237
Phone
(718) 418-6040
Fax
(718) 418-6047
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Siddharth T Pandya, MD
Title
Physician
Phone
(718) 418-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 189510 NY
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 189510 NY Primary

Addresses

Primary practice location

127 St.Nicholas Ave.
Brooklyn, NY 11237

Mailing address

3 Embryfarm Road
Marlboro, NJ 07746
Phone (718) 418-6040

Other identifiers 1

IdentifierTypeStateIssuer
01707395MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1255596672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMBRYFARM ROAD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746",
            "telephone_number": "718-418-6040",
            "fax_number": "718-418-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ST.NICHOLAS AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-418-6040",
            "fax_number": "718-418-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDHARTH T.PANDYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-418-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189510",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "189510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.