Active NPI
Shivaji L. Kadam, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1730280660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 132276
- Practice address
- 1700 Grand Concourse
Suite 3F
Bronx, NY 10457-7646 - Phone
- (718) 294-7862
- Fax
- (516) 496-7917
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 132276 | NY | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 132276 | NY |
Addresses
Primary practice location
1700 Grand Concourse
Suite 3F
Bronx, NY 10457-7646
Mailing address
15 Albergo LN
Syosset, NY 11791-3847
Phone (516) 496-7917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00447301 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ranjit S. Kadam M.D. P.C. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Syosset, NY
- NPI 1780194001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1730280660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ALBERGO LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913847",
"telephone_number": "516-496-7917",
"fax_number": "516-496-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 GRAND CONCOURSE",
"address_2": "SUITE 3F",
"city": "BRONX",
"state": "NY",
"postal_code": "104577646",
"telephone_number": "718-294-7862",
"fax_number": "516-496-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAM",
"first_name": "SHIVAJI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "132276",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "132276",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00447301",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.