Individual provider Active NPI

Bina K Chaudhari-Mody, M.D.

  • Obstetrics & Gynecology Physician
  • Flushing, NY
National Provider Identifier
1639149396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
211043 Issued in NY
Practice address
4370 Kissena Blvd
1L
Flushing, NY 11355-3769
Phone
(718) 539-6222
Fax
(718) 539-9490
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 211043 NY Primary

Addresses

Primary practice location

4370 Kissena Blvd
1L
Flushing, NY 11355-3769

Mailing address

115 Cardinal Rd
Manhasset, NY 11030-1200
Phone (516) 365-9573

Other identifiers 1

IdentifierTypeStateIssuer
1937008MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211043NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bina Chaudhari-Mody, MD PC Obstetrics & Gynecology Past Accepting new patients
Newyork-Presbyterian/Queens Obstetrics & Gynecology Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bac9005@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDGBA/Endpoint/GFDGBA

Organizations & group practices 3

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639149396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CARDINAL RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301200",
            "telephone_number": "516-365-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD",
            "address_2": "1L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553769",
            "telephone_number": "718-539-6222",
            "fax_number": "718-539-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI-MODY",
        "first_name": "BINA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "211043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1937008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.