Deepak S. Mahajan Physician P.C

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

238466 Issued in NY

Legal business name

DEEPAK S. MAHAJAN PHYSICIAN P.C

Practice address

8675 Midland Pkwy
Suite 2
Jamaica, NY 11432-3058

Phone

(718) 523-2177

Fax

(718) 523-2133

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sucheta D Mahajan, M.D.NPI 1770584427

Title

Attending

Phone

(516) 627-4577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sucheta Deepak Mahajan, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1770584427
  Medicare reassignment Care Compare group NPD Authorized official
• Deepak S Mahajan, M.D.

  • Gastroenterology Physician
  • New Hyde Park, NY
  • NPI 1295700375
  Medicare reassignment Care Compare group NPD
• Maria Flaviana Lee, M.D.

  • Anesthesiology Physician
  • Roslyn, NY
  • NPI 1992794499
  NPD (past)
• Kongseh Lim, M.D.

  • Anesthesiology Physician
  • Far Rockaway, NY
  • NPI 1255333795
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1376567925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401123",
            "telephone_number": "516-627-4577",
            "fax_number": "718-523-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 MIDLAND PKWY",
            "address_2": "SUITE 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323058",
            "telephone_number": "718-523-2177",
            "fax_number": "718-523-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK S. MAHAJAN PHYSICIAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "SUCHETA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "516-627-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "238466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02752674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Debari
• Eileen S Debbi, MD
• Cristina R Decena
• Vincent J Decurtis, CRPA
• Aleesha Deen-Nandkisure
• Kimberly Ann Defatta, PNP
• Pamela Defensor, DPT
• Celeste Maria Defillo-Lopez, MD
• Michelle Andrea Defreitas, L.C.S.W
• Jennifer Dei

• Gastroenterology Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.