Organization Active NPI

Avi Pandey, M.D., PC.

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1710286208
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
171605 Issued in NY
Legal business name
AVI PANDEY, M.D., PC.
Practice address
6118 190TH St
Suite 229
Fresh Meadows, NY 11365-2723
Phone
(718) 454-1040
Fax
(718) 454-7992
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Avi K Pandey, M.D.
Title
Medical Doctor
Phone
(718) 454-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 171605 NY Primary

Addresses

Primary practice location

6118 190TH St
Suite 229
Fresh Meadows, NY 11365-2723

Mailing address

8045 Surrey PL
Jamaica, NY 11432-1450
Phone (718) 454-1040

Other identifiers 13

IdentifierTypeStateIssuer
1114040OtherUNITED HEALTHCARE
171605A71OtherHEALTHFIRST MEDICAID
DS459OtherOXFORD
0C8079OtherHEALTHNET
513607OtherAETNA
01457221MedicaidNY
36E363OtherBCBS
0006748OtherGHI
159853OtherELDERPLAN
36E361OtherEMPIRE MEDICARE
0801348OtherUNITED MEDICARE
180018329OtherRAILROAD MEDICARE
3938872Other1199 NATIONAL BENEFIT

National Provider Directory

National Provider Directory

Locations

6118 190th St
Ste 229
Fresh Meadows, NY 11365
Phone (561) 501-1961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1710286208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 SURREY PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321450",
            "telephone_number": "718-454-1040",
            "fax_number": "718-454-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 190TH ST",
            "address_2": "SUITE 229",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652723",
            "telephone_number": "718-454-1040",
            "fax_number": "718-454-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI PANDEY, M.D., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-454-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "171605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1114040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST MEDICAID",
            "identifier": "171605A71",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DS459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0C8079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "513607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457221",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36E363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0006748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "159853",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE MEDICARE",
            "identifier": "36E361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MEDICARE",
            "identifier": "0801348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180018329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NATIONAL BENEFIT",
            "identifier": "3938872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.