Organization Active NPI

Rattanjit S Kohli Physician PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1417145897
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186126 Issued in NY
Legal business name
RATTANJIT S KOHLI PHYSICIAN PC
Practice address
443 Linden Blvd
Brooklyn, NY 11203-2821
Phone
(718) 282-6333
Fax
(718) 756-0545
NPI assigned
Oct 10, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Rattanjit S Kohli, MD
Title
President
Phone
(516) 782-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186126 NY Primary

Addresses

Primary practice location

443 Linden Blvd
Brooklyn, NY 11203-2821

Mailing address

11 Tulip CT
Albertson, NY 11507-1045
Phone (516) 621-5950

Other identifiers 1

IdentifierTypeStateIssuer
01336841MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1417145897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TULIP CT",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071045",
            "telephone_number": "516-621-5950",
            "fax_number": "516-621-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032821",
            "telephone_number": "718-282-6333",
            "fax_number": "718-756-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATTANJIT S KOHLI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "RATTANJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-782-2530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01336841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.