Individual provider Active NPI

Siddharth T Pandya, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1609843671
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189510 Issued in NY
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

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01707395MedicaidNY

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
I20070206000025 NY Practitioner - Internal MedicinePractitioner - Neurology 2860494721 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman Ingersoll Farragut Health Center CurrentSince Nov 7, 2017 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Brooklyn Plaza Medical Center, Inc CurrentSince Nov 7, 2017 Accepting new patients
Wyckoff Professional Medical Services, PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Wyckoff Medical Services, P C Internal Medicine Past Accepting new patients
Fresh Pond Physical Therapy, P.C PastSince May 12, 2026 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

  • Direct secure messaging: siddharthpandya@whmc.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.