Active NPI
Abhishek Pandey, MD
- Sleep Medicine (Family Medicine) Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- MD469969
- Practice address
- 1302 New York Ave
Brooklyn, NY 11203-5508 - Phone
- (347) 559-0133
- NPI assigned
- Nov 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 293427 | NY | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | MD469969 | PA | Primary |
Addresses
Primary practice location
1302 New York Ave
Brooklyn, NY 11203-5508
Mailing address
92 Greenway Dr
Staten Island, NY 10301-3366
Phone (718) 287-5337
Other practice location 1
1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05099032 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apandey276706@direct.geisinger.edu | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180514001966 | NY | Practitioner - Family Practice | 8820375421 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1302 New York Ave
Brooklyn, NY 11203-5508
Phone (718) 703-9242
Hospital & facility affiliations
- Girling Health Care of New York
- Mount Sinai Beth Israel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD469969 | PA | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enriching Lives Through Medical Physicians P.C. | Family Medicine | Current | Accepting new patients |
| Beth Israel Medical Center | Past | Accepting new patients |
Locations
1302 New York Ave
Brooklyn, NY 11203
Phone (347) 559-0133
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- abhishek.pandey@496413812326404.direct.elationemr.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1326776170
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1265786990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 GREENWAY DR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013366",
"telephone_number": "718-287-5337",
"fax_number": "718-703-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035508",
"telephone_number": "347-559-0133"
}
],
"practiceLocations": [
{
"address_1": "1800 Mulberry St",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185102369",
"country_code": "US",
"telephone_number": "570-969-0161",
"fax_number": "570-969-0163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDEY",
"first_name": "ABHISHEK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-02",
"last_updated": "2021-02-22",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "NY",
"license": "293427",
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "PA",
"license": "MD469969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05099032",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apandey276706@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1800 Mulberry St",
"city": "Scranton",
"state": "PA",
"country_code": "US",
"postal_code": "185102369",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.