Individual provider Active NPI

Urvi Thakker, D.O.

  • Pediatrics Physician
  • Floral Park, NY
National Provider Identifier
1649409236
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
248165 Issued in NY
Practice address
26617 E Williston Ave
Floral Park, NY 11001-1154
Phone
(201) 838-5237
Fax
(515) 417-8381
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 248165 NY Primary

Addresses

Primary practice location

26617 E Williston Ave
Floral Park, NY 11001-1154

Mailing address

26617 E Williston Ave
Floral Park, NY 11001-1154
Phone (201) 838-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20131106000909 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6901031525 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248165NYMDPediatrics Physician

Organizations & group practices 2

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1649409236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26617 E WILLISTON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011154",
            "telephone_number": "201-838-5237",
            "fax_number": "515-417-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26617 E WILLISTON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011154",
            "telephone_number": "201-838-5237",
            "fax_number": "515-417-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "URVI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.