Chadderwala Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHADDERWALA MEDICAL PC

Practice address

7116 Grand Ave
Maspeth, NY 11378-1823

Phone

(718) 307-1577

NPI assigned

Nov 10, 2023

Last updated

Nov 20, 2023By 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

Vijay Chadderwala, DONPI 1376993287

Title

Owner

Phone

(917) 399-3800

Specialties & licenses 1

Addresses

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.

• Vijay Chadderwala, D.O.

  • Family Medicine Physician
  • Sunnyside, NY
  • NPI 1376993287
  NPD Authorized official

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1386418218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24833 89TH AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261901",
            "telephone_number": "917-399-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781823",
            "telephone_number": "718-307-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADDERWALA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "CHADDERWALA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-399-3800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Deborah Carrott, RN
• Natasha Casasnovas
• John Anthony Casey
• Connie Jasmine Castro, PSY.D., NCSP
• Cerebral Harmony LLC
• David Champlin
• Winnie Chan, L.AC
• Zoey Chen, MS ED
• Jee Yoon Chong, OTR/L, CHT
• Kenneth Chung

• Primary Care Clinic/Center in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.