Individual provider Active NPI

Rajesh Kamdar, DDS

  • Dentist
  • New York, NY
National Provider Identifier
1720428832
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
031739 Issued in NY
Practice address
135 W 27TH Street
Ground Level, Preferred Dental Care
New York, NY 10001
Phone
(212) 594-7171
Fax
(212) 447-0896
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 031739 NY Primary

Addresses

Primary practice location

135 W 27TH Street
Ground Level, Preferred Dental Care
New York, NY 10001

Mailing address

1 Club Dr N
Jericho, NY 11753-1128
Phone (212) 594-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1720428832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLUB DR N",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531128",
            "telephone_number": "212-594-7171",
            "fax_number": "212-447-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 27TH STREET",
            "address_2": "GROUND LEVEL, PREFERRED DENTAL CARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-594-7171",
            "fax_number": "212-447-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "031739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.