Active NPI
Siddharth T Pandya, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1609843671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 189510
- Practice address
- 650 Fulton St
Brooklyn, NY 11217-1517 - Phone
- (718) 596-9800
- Fax
- (877) 460-4752
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 189510 | NY | |
| Internal Medicine Physician | 207R00000X | 189510 | NY | Primary |
Addresses
Primary practice location
650 Fulton St
Brooklyn, NY 11217-1517
Mailing address
3 Embry Farm Rd
Marlboro, NJ 07746-1081
Phone (718) 418-6040
Other practice location 1
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 418-6040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01707395 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitman Ingersoll Farragut Health Center | Current | Accepting new patients | |
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Brooklyn Plaza Medical Center, Inc | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| Wyckoff Medical Services, P C | Internal Medicine | Past | Accepting new patients |
| Fresh Pond Physical Therapy, P.C | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
650 Fulton St
Brooklyn, NY 11217
Phone (718) 596-9800
650 Fulton St
#0
Brooklyn, NY 11217
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- siddharthpandya@whmc.allscriptsdirect.net
- siddharth.pandya@bpmc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1336113398
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1619366978
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Physical Therapy Clinic/Center
- Ridgewood, NY
- NPI 1508844036
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1609843671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EMBRY FARM RD",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461081",
"telephone_number": "718-418-6040",
"fax_number": "718-418-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171517",
"telephone_number": "718-596-9800",
"fax_number": "877-460-4752"
}
],
"practiceLocations": [
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-418-6040",
"fax_number": "718-418-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDYA",
"first_name": "SIDDHARTH",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "189510",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "189510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01707395",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.