Jayant Gopal Phadke, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

078071 Issued in MA

Practice address

123 Summer St
Ste 695
Worcester, MA 01608-1216

Phone

(508) 363-5630

Fax

(508) 363-5630

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Phadke and Phadke PC

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1750470035

  Neurology

  NPD (past)
• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1467436055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "STE 695",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-5630",
            "fax_number": "508-363-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "STE 695",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-5630",
            "fax_number": "508-363-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHADKE",
        "first_name": "JAYANT",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "078071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111083",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Pezzella, MD
• Michele Pfannenstiel, OTR/L
• Deep S Phachu, M.D.
• Phadke and Phadke PC
• Bharati Jayant Phadke, MD
• Rachana Shirish Phadke
• Phalanx Med Massachusetts, LLC
• Deanna Pedro Pham
• Kevin Pham, PHARMD
• Phuong T. Pham, D.M.D.

• Neurology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.