Individual provider Active NPI

Hosi Padamadan, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1396708657
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09880900 Issued in NJ
Practice address
315 W 57TH St
New York, NY 10019
Phone
(212) 315-2330
Fax
(212) 682-9304
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 286560 NY
Family Medicine Physician 207Q00000X 25MA09880900 NJ Primary

Addresses

Primary practice location

315 W 57TH St
New York, NY 10019

Mailing address

1345 RXR PLZ
Uniondale, NY 11556-1301
Phone (516) 453-0435

Other practice location 1

2171 Route 70 W
Cherry Hill, NJ 08002-2733
Phone (856) 406-0023

Other practice location 2

2171 Route 70 W
Cherry Hill, NJ 08002-2733
Phone (856) 406-0023

Other practice location 3

2317 Center Island Route 22
Union, NJ 07083
Phone (201) 354-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170316001211 NJ Practitioner - Family Practice 5698735520 Reassigns benefits to 1 organization
I20190405001309 NY Practitioner - Family Practice 5698735520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

5 Penn PLZ
New York, NY 10001-1810
Phone (646) 647-1249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09880900NJMDFamily Medicine Physician
286560NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Dec 25, 2020 Accepting new patients
Summit Medical Group PA CurrentSince Dec 25, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 1, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

315 W 57th St
New York, NY 10019
Phone (212) 315-2330

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: hosi.padamadan.2@2983.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1396708657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-453-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-315-2330",
            "fax_number": "212-682-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Route 70 W",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022733",
            "country_code": "US",
            "telephone_number": "856-406-0023",
            "fax_number": "856-406-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2171 Route 70 W",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022733",
            "country_code": "US",
            "telephone_number": "856-406-0023",
            "fax_number": "856-406-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2317 Center Island Route 22",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "07083",
            "country_code": "US",
            "telephone_number": "201-354-1951",
            "fax_number": "201-354-1952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADAMADAN",
        "first_name": "HOSI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "286560",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09880900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.