Individual provider Active NPI

Manash K Dasgupta, M.D.

  • Specialist
  • Yonkers, NY
National Provider Identifier
1336136993
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
129957 Issued in NY
Practice address
9A Central Park Ave
Yonkers, NY 10705-4746
Phone
(914) 376-3330
Fax
(914) 376-1566
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 129957 NY Primary

Addresses

Primary practice location

9A Central Park Ave
Yonkers, NY 10705-4746

Mailing address

9A Central Park Ave
Yonkers, NY 10705-4746
Phone (914) 376-3330

Other identifiers 7

IdentifierTypeStateIssuer
W38281OtherNYMEDICARE GROUP PIN
445112311OtherNYUNITED HEALTH CARE
P412198OtherNYOXFORD
1000005074OtherNYAFFINITY HEALTH PLAN
CK6794OtherNYRAILROAD MEDICARE
00238615MedicaidNY
3300322OtherNYGHI

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
I20100224000679 NY Practitioner - NephrologyPractitioner - Internal Medicine 8022079300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 A Central Park Ave
Yonkers, NY 10705-4746
Phone (914) 376-3330

Hospital & facility affiliations

  • Atlantic DMS - Morrisania Teller Ave Dialysis facility, Bronx, NY, CCN 332648
  • Atlantic DMS - New York Park Ave Dialysis facility, Bronx, NY, CCN 332582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129957NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology PLLC Specialist CurrentSince Jan 1, 2002 Accepting new patients

Locations

9A Central Park Ave
Yonkers, NY 10705
Phone (914) 376-3330

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1336136993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054746",
            "telephone_number": "914-376-3330",
            "fax_number": "914-376-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054746",
            "telephone_number": "914-376-3330",
            "fax_number": "914-376-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "MANASH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "129957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "W38281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "445112311",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P412198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000005074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6794",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00238615",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3300322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.