Individual provider Active NPI

Vijay Srichand Sidhwani, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oceanside, NY
National Provider Identifier
1265622435
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
238259 Issued in NY
Practice address
2965 Long Beach Rd
Oceanside, NY 11572-3204
Phone
(516) 770-8458
NPI assigned
Jul 25, 2007
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 238259 NY Primary

Addresses

Primary practice location

2965 Long Beach Rd
Oceanside, NY 11572-3204

Mailing address

14 Eric LN
New Hyde Park, NY 11040-1902
Phone (516) 770-8458

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
I20100913000177 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2961527106 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Neurology Associates, P.C. CurrentSince Jul 1, 2010 Accepting new patients
Virgin Island Neurology, PC PastSince Jul 16, 2023 Accepting new patients

Locations

724 Pelham Pkwy S
Bronx, NY 10462
Phone (347) 281-9444

2965 Long Beach Rd
Oceanside, NY 11572
Phone (516) 593-8953

Interoperability endpoints

  • Direct secure messaging: vsidhwani64090@northwell.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1265622435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ERIC LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401902",
            "telephone_number": "516-770-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723204",
            "telephone_number": "516-770-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHWANI",
        "first_name": "VIJAY",
        "middle_name": "SRICHAND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "238259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.