Organization Active NPI

Blue Door Medical PLLC

  • Surgery Physician
  • New York, NY
National Provider Identifier
1437903820
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BLUE DOOR MEDICAL PLLC
Practice address
301 E 79TH St Apt 7S
New York, NY 10075-0935
Phone
(917) 442-1115
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Dr. Nayana Parekh, MDNPI 1275764581
Title
Owner
Phone
(917) 442-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

301 E 79TH St Apt 7S
New York, NY 10075-0935

Mailing address

301 E 79TH St Apt 7S
New York, NY 10075-0935
Phone (917) 442-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023002835 NY Part B Supplier - Clinic/Group Practice 9436682812 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; College Point, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1437903820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST APT 7S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750935",
            "telephone_number": "917-442-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST APT 7S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750935",
            "telephone_number": "917-442-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "NAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-442-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.