Active NPI
Siddharth T.Pandya
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1255596672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 189510
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 189510 | NY | |
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01707395 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.