Active NPI
Arun K Agrawal, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hempstead, NY
National Provider Identifier
1467455048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 159622
- Practice address
- 33 Front Street
Hempstead, NY 11550 - Phone
- (516) 565-4789
- Fax
- (516) 565-4036
- NPI assigned
- May 27, 2005
- Last updated
- Nov 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 159622 | NY | |
| Surgery Physician | 208600000X | 159622 | NY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 159622 | NY | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 159622 | NY |
Addresses
Primary practice location
33 Front Street
Hempstead, NY 11550
Mailing address
84 Second Street
Garden City, NY 11530-4416
Phone (516) 565-4789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00998701 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159622 | NY | MD | Interventional Pain Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hempstead, NY
- NPI 1720378284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1467455048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 SECOND STREET",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304416",
"telephone_number": "516-565-4789",
"fax_number": "516-565-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 FRONT STREET",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "11550",
"telephone_number": "516-565-4789",
"fax_number": "516-565-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "ARUN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "159622",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "159622",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "159622",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "159622",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00998701",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.