Individual provider Active NPI

Navjit Dhanessur

  • Physician Assistant
  • Forest Hills, NY
National Provider Identifier
1417475112
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10740 Queens Blvd Ste 204
Forest Hills, NY 11375-4252
Phone
(718) 459-0900
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10740 Queens Blvd Ste 204
Forest Hills, NY 11375-4252

Mailing address

228 E Route 59
# 408
Nanuet, NY 10954-2905
Phone (718) 362-1411

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180419000641 NY Practitioner - Physician Assistant 6507129863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Hills Dermatology Group PLLCGroup PAC ID 6608037320, 14 clinicians

Practice addresses (Care Compare)

10002 Rockaway Blvd
Suite 2
Ozone Park, NY 11417-2217
Phone (718) 380-2330

258 Saint Nicholas Ave
New York, NY 10027-5351
Phone (212) 222-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dial Doc Now Medical Group PC PastSince May 21, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ndhanessur@compcardiopc.gwaydirect.com

Organizations & group practices 2

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1417475112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E ROUTE 59",
            "address_2": "# 408",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542905",
            "telephone_number": "718-362-1411",
            "fax_number": "718-414-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 QUEENS BLVD STE 204",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754252",
            "telephone_number": "718-459-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANESSUR",
        "first_name": "NAVJIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.