NPIMap

Individual provider Active NPI

Bobby Chandok, MD

  • Internal Medicine Physician
  • Huntington Station, NY
National Provider Identifier
1659366946
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232641 Issued in NY
Practice address
33 Walt Whitman Rd Ste 100B
Huntington Station, NY 11746-3631
Phone
(631) 425-1000
Fax
(631) 425-1008
NPI assigned
Sep 13, 2005
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232641 NY Primary

Addresses

Primary practice location

33 Walt Whitman Rd Ste 100B
Huntington Station, NY 11746-3631

Mailing address

33 Walt Whitman Rd Ste 100B
Huntington Station, NY 11746-3631
Phone (631) 425-1000

Other identifiers 11

IdentifierTypeStateIssuer
3C5202OtherHEALTHNET -GRP #
3761366OtherAETNA-HMO
NWH-TAX IDOtherBEECH STREET
264AQ1OtherEMPIRE BC-BS
P3506922OtherOXFORD HEALTH PLAN
000000087399OtherGHI-HMO
388168OtherMVP HEALTHPLAN
10110711-UI04OtherCDPHP PROVIDER # & GRP #
2589701OtherGHI-PPO
060206000159OtherFIDELISCARE OF NY
7905618OtherAETNA - PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001609 NY Practitioner - Internal Medicine 6305806522 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232641NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 30, 2020 Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Huntington Hospital Association Current Accepting new patients
Bobby Chandok MD PLLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Huntington Hospital Association CurrentSince Jun 23, 2009 Accepting new patients
Vytaliz Medical Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Mar 30, 2020 Accepting new patients
Huntington Hospital Association CurrentSince Jun 23, 2009 Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

33 Walt Whitman Rd
Ste 100B
Huntington Station, NY 11746
Phone (631) 425-1000

300 Community Dr
Manhasset, NY 11030

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bchandok700578@nyumc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1659366946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 100B",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463631",
            "telephone_number": "631-425-1000",
            "fax_number": "631-425-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD STE 100B",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463631",
            "telephone_number": "631-425-1000",
            "fax_number": "631-425-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDOK",
        "first_name": "BOBBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET -GRP #",
            "identifier": "3C5202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "3761366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "NWH-TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC-BS",
            "identifier": "264AQ1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3506922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "000000087399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLAN",
            "identifier": "388168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER # & GRP #",
            "identifier": "10110711-UI04",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-PPO",
            "identifier": "2589701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELISCARE OF NY",
            "identifier": "060206000159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "7905618",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.