Vilas Baburao Mahadik, BDS.MDS

Primary specialty

DentistTaxonomy code 122300000X

License

038008 Issued in NY

Practice address

235 Wyckoff Ave
Brooklyn, NY 11237-5303

Phone

(718) 418-4700

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457442014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 78TH ST",
            "address_2": "APARTMENT#418",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731950",
            "telephone_number": "718-426-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375303",
            "telephone_number": "718-418-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADIK",
        "first_name": "VILAS",
        "middle_name": "BABURAO",
        "credential": "BDS.MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806193",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "75312",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9178107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Mahabir
• Muthoni Mahachi
• Anupam Mahadeo, MD
• Emily Anne Mahadeo, DCN, RD
• Pooja Vinay Mahadevan
• Aakash Mahajam, MBBS
• Geeti Mahajan, M.D.
• Jasmine Mahajan, MD
• Nakul Mahajan, MBBS
• Uma Vijaya Mahajan, MD

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.