Individual provider Active NPI

Prajoy Kadkade, M.D.

  • Otolaryngology Physician
  • Sunnyside, NY
National Provider Identifier
1487687851
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
219617 Issued in NY
Practice address
4543 43Rd St
Sunnyside, NY 11104-2609
Phone
(516) 472-0088
Fax
(516) 880-9521
NPI assigned
Jul 9, 2006
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 219617 NY Primary

Addresses

Primary practice location

4543 43Rd St
Sunnyside, NY 11104-2609

Mailing address

240 E 39TH St Apt 38E
New York, NY 10016-7210
Phone (917) 531-7316

Other names 1

  • Dr. Prajoy Kadkade Professional name

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
I20040910000192 NY Practitioner - Otolaryngology 1355318353 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Southshore Otolaryngology PCGroup PAC ID 1557253408, 3 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

176 N Village Ave
Suite 1a
Rockville Centre, NY 11570-3800
Phone 516678030318

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

935 Northern Blvd
Suite 103
Great Neck, NY 11021-5309
Phone (516) 472-0088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219617NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Southshore Otolaryngology, PC Otolaryngology CurrentSince Mar 2, 2021 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince May 1, 2020 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 28, 2015 Accepting new patients
Harlem Medical Associates PC CurrentSince Jun 3, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 28, 2015 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Kadkade MD PLLC CurrentSince Oct 10, 2014 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati Past Accepting new patients
Lexington Hearing and Speech Center, Inc Past Accepting new patients
ENT Diagnostics PLLC PastSince Mar 2, 2021 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

935 Northern Blvd
Ste 103
Great Neck, NY 11021
Phone (516) 482-0650

300 Community Dr
Manhasset, NY 11030

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

176 N Village Ave
Ste 1A
Rockville Ctr, NY 11570
Phone (516) 678-0303

4543 43rd St
Sunnyside, NY 11104
Phone (516) 472-0088

Networks

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

Interoperability endpoints

  • Direct secure messaging: pkadkade307916@nyumc.direct-ci.com
  • Direct secure messaging: pkadkade677478@nychhc.direct-ci.com
  • Direct secure messaging: prk9001@direct.nyp.org

Organizations & group practices 11

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 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1487687851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 39TH ST APT 38E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167210",
            "telephone_number": "917-531-7316",
            "fax_number": "516-880-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 43RD ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042609",
            "telephone_number": "516-472-0088",
            "fax_number": "516-880-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADKADE",
        "first_name": "PRAJOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "219617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAJOY",
            "last_name": "KADKADE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.