Individual provider Active NPI

Davinder Kaur Chandhoke, MD

  • Anatomic Pathology Physician
  • Jamaica, NY
National Provider Identifier
1639290760
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
184566 Issued in NY
Practice address
85-39 Wareham Place
Jamaica, NY 11432
Phone
(718) 558-2718
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 184566 NY Primary

Addresses

Primary practice location

85-39 Wareham Place
Jamaica, NY 11432

Mailing address

85-39 Wareham Place
Jamaica, NY 11432
Phone (718) 558-2718

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
I20041103000987 NY Practitioner - Pathology 4385606011 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184566NYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Oct 26, 2019 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Jul 20, 2009 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 26, 2019 Accepting new patients
Newyork-Presbyterian/Queens CurrentSince Jul 20, 2009 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Aug 23, 2012 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Aug 23, 2012 Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

Interoperability endpoints

  • Direct secure messaging: dchandhoke18881@sbhny.direct-ci.net

Organizations & group practices 8

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1639290760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-39 WAREHAM PLACE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-558-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-39 WAREHAM PLACE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-558-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDHOKE",
        "first_name": "DAVINDER",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "184566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.