Individual provider Active NPI

Chhaya Chakrabarti, MD

  • Pediatric Endocrinology Physician
  • Richmond Hill, NY
National Provider Identifier
1679589774
Registry record updated Apr 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
119053 Issued in NY
Practice address
8918 Lefferts Blvd
Richmond Hill, NY 11418-3218
Phone
(718) 846-2222
Fax
(718) 846-2866
NPI assigned
Jul 31, 2006
Last updated
Apr 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 119053 NY Primary

Addresses

Primary practice location

8918 Lefferts Blvd
Richmond Hill, NY 11418-3218

Mailing address

8918 Lefferts Blvd
Richmond Hill, NY 11418-3218
Phone (718) 846-2222

Other identifiers 1

IdentifierTypeStateIssuer
00222495MedicaidNY

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
I20140826001777 NY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 2769600113 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Nov 4, 2019 Accepting new patients
William F Ryan Community Health Center Inc Current Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1679589774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 LEFFERTS BLVD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183218",
            "telephone_number": "718-846-2222",
            "fax_number": "718-846-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 LEFFERTS BLVD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183218",
            "telephone_number": "718-846-2222",
            "fax_number": "718-846-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRABARTI",
        "first_name": "CHHAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "119053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00222495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.