Individual provider Active NPI

Sanjeev Palta, MD

  • Interventional Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1265401152
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
220423 Issued in NY
Practice address
95 Wyckoff Ave
Suite #1001
Brooklyn, NY 11237-2927
Phone
(718) 821-6285
Fax
(718) 821-1432
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA220423 NJ
Cardiovascular Disease Physician 207RC0000X 220423 NY
Interventional Cardiology Physician 207RI0011X 220423 NY Primary

Addresses

Primary practice location

95 Wyckoff Ave
Suite #1001
Brooklyn, NY 11237-2927

Mailing address

PO Box 750782
Forest Hills, NY 11375-0782
Phone (718) 486-4278

Other identifiers 1

IdentifierTypeStateIssuer
02674413MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512001079 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 6507807286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Comprehensive Cardiology PLLCGroup PAC ID 8527088715, 2 clinicians

Practice addresses (Care Compare)

59 Wyckoff Ave
Suite 1001
Brooklyn, NY 11237-2927

95 Wyckoff Ave
Brooklyn, NY 11237-2927
Phone (718) 821-6285

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.68
Improvement activities
40
Cost
96.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA220423NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Comprehensive Cardiology PLLC Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Cardiology Services, PC Cardiovascular Disease PastSince Jan 1, 1999 Accepting new patients
Kalpana Arya-Gupta Physician P.C. Past Accepting new patients

Locations

374 Stockholm St
Ste 3046
Brooklyn, NY 11237
Phone (718) 486-4276

95 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4276

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

95 Wyckoff Ave
Ste 1001
Brooklyn, NY 11237
Phone (718) 821-6285

374 Stockholm St
Ste 3047
Brooklyn, NY 11237
Phone (718) 486-4278

374 Stockholm St
Fl 3
Brooklyn, NY 11237
Phone (718) 208-2481

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Interoperability endpoints

  • Direct secure messaging: sap9066@direct.nyp.org
  • Direct secure messaging: sanjeevpalta@whmc.allscriptsdirect.net
  • Direct secure messaging: sanjeevpalta@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1265401152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750782",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750782",
            "telephone_number": "718-486-4278",
            "fax_number": "917-861-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WYCKOFF AVE",
            "address_2": "SUITE #1001",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372927",
            "telephone_number": "718-821-6285",
            "fax_number": "718-821-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALTA",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA220423",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "220423",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "220423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02674413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.