Individual provider Active NPI

Kamaljit Ram Kailey

  • General Practice Physician
  • Maspeth, NY
National Provider Identifier
1720892623
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P132824 Issued in NY
Practice address
6995 Queens Midtown Expy
Maspeth, NY 11378-1922
Phone
(718) 429-2200
NPI assigned
Feb 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P132824 NY Primary

Addresses

Primary practice location

6995 Queens Midtown Expy
Maspeth, NY 11378-1922

Mailing address

2417 77TH St
East Elmhurst, NY 11370-1525
Phone (929) 271-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250527000956 AR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2365972759

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P132824NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1720892623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 77TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701525",
            "telephone_number": "929-271-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 QUEENS MIDTOWN EXPY",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781922",
            "telephone_number": "718-429-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILEY",
        "first_name": "KAMALJIT",
        "middle_name": "RAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P132824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.