Chetan Malhotra, MD P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

220640 Issued in NY

Legal business name

CHETAN MALHOTRA, MD P.C.

Practice address

575 Broadway
Massapequa, NY 11758-5019

Phone

(516) 541-1900

Fax

(516) 612-8834

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Chetan Malhotra, M.D.NPI 1821028184

Title

President

Phone

(516) 541-1900

Specialties & licenses 1

Addresses

Other names 1

• Progressive Medical Group of New York Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chetan Malhotra, M.D.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1821028184
  Medicare reassignment Care Compare group NPD Authorized official
• Gurpreet Kaur, NP

  • Adult Health Nurse Practitioner
  • Oceanside, NY
  • NPI 1730797861
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402185600000",
    "number": "1568742575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585019",
            "telephone_number": "516-541-1900",
            "fax_number": "516-612-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585019",
            "telephone_number": "516-541-1900",
            "fax_number": "516-612-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETAN MALHOTRA, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2014-06-08",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-541-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Medical Group of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Uy Chan, PT
• Jennifer J Charvat, LMT
• Paul A Chaskes, DMD
• Chatandchange Counseling Services
• Farah Cherestal-Edouard, LPN
• Mary Ellen Chianella
• Gina Chiarello
• Thomas Chillemi, DMD
• Chiro Care Chiropractic Office P.C.
• Chirocore Chiropractic PLLC

• Internal Medicine Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.