Active NPI
Yogendra Upadhyay, MD
- Psychiatry Physician
- Amityville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 108074-1
- Practice address
- 116 Broadway
Amityville, NY 11701-2797 - Phone
- (516) 908-9768
- Fax
- (516) 801-4361
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 108074-1 | NY | |
| Psychiatry Physician | 2084P0800X | 108074-1 | NY | Primary |
Addresses
Primary practice location
116 Broadway
Amityville, NY 11701-2797
Mailing address
116 Broadway Ste 6
Amityville, NY 11701-2797
Phone (516) 908-9768
Other practice location 1
400 Montauk Hwy Ste 111
West Islip, NY 11795-4429
Phone (516) 908-9746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00190625 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1962
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
400 Montauk Hwy
Suite 109
West Islip, NY 11795-4429
Phone (516) 480-5578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108074 | NY | MD | Social Worker |
| 108074-1 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piya Ghoshal MD PC | Current | Accepting new patients | |
| Yogendra Upadhyay MD PC | Psychiatry | Current | Accepting new patients |
| Shahzad Iqbal Physician PLLC | Past | Accepting new patients | |
| Carnese Associates | Past | Accepting new patients |
Locations
116 Broadway
Ste 6
Amityville, NY 11701
Phone (631) 264-8600
400 Montauk Hwy
Ste 111
West Islip, NY 11795
Phone (631) 587-9009
400 Montauk Hwy
Ste 109
West Islip, NY 11795
Phone (516) 480-5578
Organizations & group practices 4
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.
-
- Psychiatry Physician
- West Islip, NY
- NPI 1265294979
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1316927049
-
- Clinical Social Worker
- West Islip, NY
- NPI 1821325549
-
- Gastroenterology Physician
- Queens Village, NY
- NPI 1316331168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1366430290",
"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": "516-908-9768",
"fax_number": "516-801-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012797",
"telephone_number": "516-908-9768",
"fax_number": "516-801-4361"
}
],
"practiceLocations": [
{
"address_1": "400 Montauk Hwy Ste 111",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117954429",
"country_code": "US",
"telephone_number": "516-908-9746",
"fax_number": "516-801-4361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPADHYAY",
"first_name": "YOGENDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "108074-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "108074-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00190625",
"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 Feb 10, 2022; 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.