Active NPI
Kala Aggarwal, M.D.
- Pediatrics Physician
- Astoria, NY
National Provider Identifier
1447553565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 155960-1
- Practice address
- 1226 31St Ave
Basement Nyc Dohmh
Astoria, NY 11106-4814 - Phone
- (718) 267-2104
- Fax
- (718) 267-2105
- NPI assigned
- Dec 11, 2010
- Last updated
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA 040434 | NJ | |
| Pediatrics Physician | 208000000X | 155960-1 | NY | Primary |
Addresses
Primary practice location
1226 31St Ave
Basement Nyc Dohmh
Astoria, NY 11106-4814
Mailing address
13 Burning Hollow Rd
Saddle River, NJ 07458-2938
Phone (201) 258-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 040434 | NJ | MD | Pediatrics Physician |
| 155960-1 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1447553565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BURNING HOLLOW RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582938",
"telephone_number": "201-258-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 31ST AVE",
"address_2": "BASEMENT NYC DOHMH",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111064814",
"telephone_number": "718-267-2104",
"fax_number": "718-267-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "KALA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-11",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA 040434",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "155960-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.