Active NPI
Avi Pandey, M.D., PC.
- Specialist
- Fresh Meadows, NY
National Provider Identifier
1710286208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 171605
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114040 | Other | UNITED HEALTHCARE | |
| 171605A71 | Other | HEALTHFIRST MEDICAID | |
| DS459 | Other | OXFORD | |
| 0C8079 | Other | HEALTHNET | |
| 513607 | Other | AETNA | |
| 01457221 | Medicaid | NY | |
| 36E363 | Other | BCBS | |
| 0006748 | Other | GHI | |
| 159853 | Other | ELDERPLAN | |
| 36E361 | Other | EMPIRE MEDICARE | |
| 0801348 | Other | UNITED MEDICARE | |
| 180018329 | Other | RAILROAD MEDICARE | |
| 3938872 | Other | 1199 NATIONAL BENEFIT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Fresh Meadows, NY
- NPI 1245684364
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.