Individual provider Active NPI

Prachi S Dharia, MD

  • Internal Medicine Physician
  • Roslyn Heights, NY
National Provider Identifier
1710145404
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
248048 Issued in NY
Practice address
118 Stratford N
Roslyn Heights, NY 11577-2316
Phone
(516) 625-2943
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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 248048 NY Primary

Addresses

Primary practice location

118 Stratford N
Roslyn Heights, NY 11577-2316

Mailing address

118 Stratford N
Roslyn Heights, NY 11577-2316
Phone (516) 625-2943

Other names 1

  • Prachi Sunil Shah Former name

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
I20100601000545 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 2860521853 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Mar 17, 2010 Accepting new patients
Jamaica Hospital CurrentSince Mar 17, 2010 Accepting new patients

Locations

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

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

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

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

Interoperability endpoints

  • Direct secure messaging: pdharia38421@nychhc.direct-ci.com

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1710145404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STRATFORD N",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772316",
            "telephone_number": "516-625-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 STRATFORD N",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772316",
            "telephone_number": "516-625-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARIA",
        "first_name": "PRACHI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "248048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRACHI",
            "last_name": "SHAH",
            "middle_name": "SUNIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.