Individual provider Active NPI

Pawandeep Singh Hunjan, MD

  • Surgery Physician
  • Patchogue, NY
National Provider Identifier
1528470747
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
272191-1 Issued in NY
Practice address
4 Phyllis Dr
Suite B
Patchogue, NY 11772-2900
Phone
(631) 289-4700
Fax
(631) 289-4718
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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 272191-1 NY Primary

Addresses

Primary practice location

4 Phyllis Dr
Suite B
Patchogue, NY 11772-2900

Mailing address

4 Phyllis Dr
Suite B
Patchogue, NY 11772-2900
Phone (631) 289-4700

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
I20140828000239 NY Practitioner - General Surgery 8224256599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000

48 Route 25a
Smithtown, NY 11787-1447

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
59.29
Promoting interoperability
89
Improvement activities
40
Cost
76.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)16
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272191-1NYMDSurgery Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Long Island Surgery P.C. Surgery CurrentSince Aug 1, 2014 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 30, 2024 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2025 Accepting new patients

Locations

4 Phyllis Dr
Ste B
Patchogue, NY 11772
Phone (631) 289-4700

4 Phyllis Dr
Patchogue, NY 11772
Phone (631) 289-4700

300 Community Dr
Plandome, NY 11030

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Ste 104
Smithtown, NY 11787
Phone (631) 862-3688

Networks

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

Interoperability endpoints

  • Direct secure messaging: phunjan69167@direct-chsli.net

Organizations & group practices 4

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.

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1528470747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHYLLIS DR",
            "address_2": "SUITE B",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722900",
            "telephone_number": "631-289-4700",
            "fax_number": "631-289-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYLLIS DR",
            "address_2": "SUITE B",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722900",
            "telephone_number": "631-289-4700",
            "fax_number": "631-289-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNJAN",
        "first_name": "PAWANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "272191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.