NPIMap

Individual provider Active NPI

Sanjay Patel

  • Infectious Disease Physician
  • Bronx, NY
National Provider Identifier
1669492534
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
223212 Issued in NY
Practice address
755 E 149TH St
Bronx, NY 10455-4525
Phone
(718) 665-7400
Fax
(718) 742-6011
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 223212 NY Primary

Addresses

Primary practice location

755 E 149TH St
Bronx, NY 10455-4525

Mailing address

85 Nassau Dr
Albertson, NY 11507-1217
Phone (516) 801-6976

Other identifiers 1

IdentifierTypeStateIssuer
02625276MedicaidNY

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
I20040607000954 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 9931181450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Route 9W
West Haverstraw, NY 10993-1127
Phone (845) 786-4097

Route 9W
West Haverstraw, NY 10993-1195
Phone (845) 786-4097

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince May 7, 2016 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
State of New York Comptrollers Office Current Accepting new patients
North Shore-Lij Medical PC CurrentSince May 7, 2016 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 17, 2019 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 17, 2019 Accepting new patients
State of New York CurrentSince May 7, 2016 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients

Locations

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

300 Community Dr
Manhasset, NY 11030

50 Water St
Fl 3
New York, NY 10004

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: spatel1175528@nychhc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1669492534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NASSAU DR",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071217",
            "telephone_number": "516-801-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554525",
            "telephone_number": "718-665-7400",
            "fax_number": "718-742-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "223212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.