Individual provider Active NPI

Rashmae Chardavoyne, MD

  • Surgery Physician
  • Bellerose, NY
National Provider Identifier
1467556746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
128495 Issued in NY
Practice address
25115 Union Tpke
Rashmae Chardavoyne MD
Bellerose, NY 11426-2627
Phone
(718) 343-1616
Fax
(718) 343-4272
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 128495 NY Primary

Addresses

Primary practice location

25115 Union Tpke
Rashmae Chardavoyne MD
Bellerose, NY 11426-2627

Mailing address

25115 Union Tpke
Rashmae Chardavoyne MD
Bellerose, NY 11426-2627
Phone (718) 343-1616

Other identifiers 1

IdentifierTypeStateIssuer
00751377MedicaidNY

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
I20120120000529 NY Practitioner - General Surgery 7810164514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Medical Services, P.C. CurrentSince Jun 1, 2013 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

7401 Myrtle Ave
Glendale, NY 11385
Phone (646) 549-1599

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

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

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467556746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 UNION TPKE",
            "address_2": "RASHMAE CHARDAVOYNE MD",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262627",
            "telephone_number": "718-343-1616",
            "fax_number": "718-343-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25115 UNION TPKE",
            "address_2": "RASHMAE CHARDAVOYNE MD",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262627",
            "telephone_number": "718-343-1616",
            "fax_number": "718-343-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARDAVOYNE",
        "first_name": "RASHMAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "128495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00751377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.