NPIMap

Organization Active NPI

Priyadarshan Bajpayi, M.D. PC

Doing business as Evolve Psychiatry

  • Psychiatry Physician
  • Massapequa, NY
National Provider Identifier
1629534474
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRIYADARSHAN BAJPAYI, M.D. PC
Doing business as
Evolve Psychiatry
Practice address
5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238
Phone
(631) 673-3233
Fax
(631) 673-1314
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Priyadarshan Bajpayi, M.D.NPI 1699087148
Title
Owner
Phone
(516) 808-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238

Mailing address

5550 Merrick Rd Ste 200
Massapequa, NY 11758-6238
Phone (631) 673-3233

Other practice location 1

1873 Western Ave Ste 202B
Albany, NY 12203-5028
Phone (631) 673-3233

Other names 1

  • Evolve Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190502001387 NY Part B Supplier - Clinic/Group Practice 6608118179 Receives reassigned benefits from 20 practitioners
Practice locations: Albany, NY; Massapequa, NY

National Provider Directory

National Provider Directory

Locations

1873 Western Ave
Ste 202B
Albany, NY 12203
Phone (518) 364-6532

63 Shaker Rd
Ste 203
Albany, NY 12204
Phone (518) 449-1307

623 Stewart Ave
Ste 203
Garden City, NY 11530

521 Route 111
Ste 103
Hauppauge, NY 11788
Phone (631) 360-0053

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1629534474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 MERRICK RD STE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586238",
            "telephone_number": "631-673-3233",
            "fax_number": "631-673-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 MERRICK RD STE 200",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586238",
            "telephone_number": "631-673-3233",
            "fax_number": "631-673-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Western Ave Ste 202B",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122035028",
            "country_code": "US",
            "telephone_number": "631-673-3233",
            "fax_number": "631-673-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIYADARSHAN BAJPAYI, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "BAJPAYI",
        "authorized_official_first_name": "PRIYADARSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-808-0765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.