Organization Active NPI

Piya Ghoshal MD PC

  • Internal Medicine Physician
  • Amityville, NY
National Provider Identifier
1316927049
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225060 Issued in NY
Legal business name
PIYA GHOSHAL MD PC
Practice address
116 Broadway
Suite 6
Amityville, NY 11701-2797
Phone
(631) 264-8600
Fax
(631) 264-8403
NPI assigned
Jan 19, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Piya GhoshalNPI 1417164799
Title
MD
Phone
(631) 264-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225060 NY Primary

Addresses

Primary practice location

116 Broadway
Suite 6
Amityville, NY 11701-2797

Mailing address

116 Broadway Ste 6
Amityville, NY 11701-2797
Phone (631) 264-8600

Other identifiers 1

IdentifierTypeStateIssuer
02367128MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000243 NY Part B Supplier - Clinic/Group Practice 6406878669 Receives reassigned benefits from 1 practitioner
Practice locations: Amityville, NY; West Islip, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1047548Piya Ghoshal MD PC116 Broadway, Suite 6, Amityville, NY 11701Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

116 Broadway
Ste 6
Amityville, NY 11701
Phone (631) 264-8600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1316927049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROADWAY STE 6",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012797",
            "telephone_number": "631-264-8600",
            "fax_number": "631-264-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROADWAY",
            "address_2": "SUITE 6",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012797",
            "telephone_number": "631-264-8600",
            "fax_number": "631-264-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIYA GHOSHAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "GHOSHAL",
        "authorized_official_first_name": "PIYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-264-8600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367128",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.