Individual provider Active NPI

Subodh Kumar Sinha, MD

  • Internal Medicine Physician
  • Rockaway Beach, NY
National Provider Identifier
1548339138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200548 Issued in NY
Practice address
8600 Shore Front Pkwy
Rockaway Beach, NY 11693-1854
Phone
(718) 745-1901
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 200548 NY Primary

Addresses

Primary practice location

8600 Shore Front Pkwy
Rockaway Beach, NY 11693-1854

Mailing address

PO Box 439
Woodmere, NY 11598-0439
Phone (718) 745-1901

Other identifiers 1

IdentifierTypeStateIssuer
01696208MedicaidNY

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
I20041104000515 NY Practitioner - Internal Medicine 1850354598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

350 91St St
Suite 1a
Brooklyn, NY 11209-5853
Phone (718) 745-1901

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodmere Medical PC Internal Medicine CurrentSince Mar 14, 2012 Accepting new patients
Vantage Medical Associates PC CurrentSince Apr 4, 2025 Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients
Healing Therapeutics Physical Therapy PLLC Past Accepting new patients
VR Leddy, M.D., P.C. Internal Medicine Past Accepting new patients
Anastasios Pelias, M.D.,PC Past Accepting new patients

Locations

160 4th St
Ste 1
Brentwood, NY 11717
Phone (631) 273-7105

350 91st St
Ste 1A
Brooklyn, NY 11209
Phone (718) 355-9705

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

8600 Shore Front Pkwy
Rockaway Beach, NY 11693
Phone (718) 745-1901

8600 Shore Front Pkwy
Ste 41
Rockaway Beach, NY 11693
Phone (718) 945-2424

Networks

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

Interoperability endpoints

  • Direct secure messaging: subodh.sinha@woodmeremedicalpc.ehi.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548339138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980439",
            "telephone_number": "718-745-1901",
            "fax_number": "718-745-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SHORE FRONT PKWY",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931854",
            "telephone_number": "718-745-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "SUBODH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01696208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

Verify at the official NPI Registry.