Deepak Vasishtha Physician PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DEEPAK VASISHTHA PHYSICIAN PC

Practice address

209 Beach 125TH St
Belle Harbor, NY 11694-1703

Phone

(718) 310-3350

Fax

(718) 228-9317

NPI assigned

Dec 7, 2012

Last updated

Dec 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepak Vasishtha, MDNPI 1114950540

Title

Owner/President

Phone

(718) 310-3350

Specialties & licenses 1

Addresses

Tax ID family

Deepak Vasishtha Physician PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deepak Vasishtha Physician, P.C.

  • Pain Clinic/Center
  • Nanuet, NY
  • NPI 1558791509
  NPD tax ID

Locations

Practitioners 1

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.

• Deepak Vasishtha, MD

  • Physical Medicine & Rehabilitation Physician
  • Nanuet, NY
  • NPI 1114950540
  NPD Authorized official

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1326383910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 PARK AVE",
            "address_2": "600",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051600",
            "telephone_number": "718-310-3350",
            "fax_number": "718-228-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BEACH 125TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941703",
            "telephone_number": "718-310-3350",
            "fax_number": "718-228-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK VASISHTHA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "VASISHTHA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-310-3350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Leigh Corsello
• Kimberly Coursey
• John J Curley III, DMD
• Marina A Daniello, LMHC
• David Lichtenstein Physician PC
• Melanie E Delacruz, COTA
• Brooke Demarco
• Kathleen Diffendale, RN
• Shannon Taylor Dinerman
• Eileen Laide Speech Language Pathologist PLLC

• Physical Medicine & Rehabilitation Physician in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.