Individual provider Active NPI

Rajendra Damodar Bhayani, MD

  • Facial Plastic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1467491423
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
226427 Issued in NY
Practice address
1783 W 6TH St
Brooklyn, NY 11223-1321
Phone
(718) 645-2555
NPI assigned
Jun 5, 2006
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 226427 NY Primary

Addresses

Primary practice location

1783 W 6TH St
Brooklyn, NY 11223-1321

Mailing address

PO Box 230207
Brooklyn, NY 11223-0207
Phone (718) 645-2555

Other identifiers 1

IdentifierTypeStateIssuer
02608428MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000746 NY Practitioner - Otolaryngology 5799680153 Reassigns benefits to 4 organizations
Practice locations: Staten Island, NY; Long Beach, NY; Brooklyn, NY; Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldberg and Pellegrini, MD, P.C.Group PAC ID 2860381233, 8 clinicians

Practice addresses (Care Compare)

380 88TH St
Brooklyn, NY 11209-5665
Phone (718) 748-5482

6273 Woodhaven Blvd
Rego Park, NY 11374-2953
Phone (718) 595-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226427NYMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg & Pellegrini, MD, P.C. CurrentSince Apr 20, 2025 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Nov 28, 2011 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 7, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 7, 2023 Accepting new patients
Jal 28 LLC Past Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients
First Choice Occupational Therapy P.C. Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Sel Medical PC Past Accepting new patients
Mermaid Management Inc PastSince Dec 11, 2018 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

380 88th St
Ste 1
Brooklyn, NY 11209

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1467491423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230207",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112230207",
            "telephone_number": "718-645-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231321",
            "telephone_number": "718-645-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAYANI",
        "first_name": "RAJENDRA",
        "middle_name": "DAMODAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "226427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02608428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.