Individual provider Active NPI

Michelle Anne Jindal, MD

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1598766974
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
226404 Issued in NY
Practice address
984 N Broadway Ste 405
Yonkers, NY 10701-1308
Phone
(914) 965-2101
Fax
(914) 965-2102
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 226404 NY Primary

Addresses

Primary practice location

984 N Broadway Ste 405
Yonkers, NY 10701-1308

Mailing address

780 E Tremont Ave
Bronx, NY 10460-4101
Phone (718) 583-3506

Other identifiers 1

IdentifierTypeStateIssuer
02548754MedicaidNY

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
I20060327000911 NY Practitioner - Pediatric Medicine 4688682016 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Pediatrics, PC Pediatrics CurrentSince Nov 1, 2012 Accepting new patients
Bronxcare Health System CurrentSince Jan 1, 2022 Accepting new patients
Bronxcare Health System Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
Bronx Medical Care PC Pediatrics PastSince Jul 1, 2004 Accepting new patients

Locations

780 E Tremont Ave
Bronx, NY 10460
Phone (718) 583-3506

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1598766974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604101",
            "telephone_number": "718-583-3506",
            "fax_number": "718-583-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY STE 405",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "914-965-2101",
            "fax_number": "914-965-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "226404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02548754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.