Organization Active NPI

Chelsea Medical Care PC

  • Neurology Physician
  • Richmond Hill, NY
National Provider Identifier
1750838488
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
199052 Issued in NY
Legal business name
CHELSEA MEDICAL CARE PC
Practice address
8715 115TH St
Richmond Hill, NY 11418-2410
Phone
(718) 805-2000
NPI assigned
Sep 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Authorized official

Name
Madhu Babu Boppana, M.D.
Title
Owner
Phone
(646) 270-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 199052 NY Primary

Addresses

Primary practice location

8715 115TH St
Richmond Hill, NY 11418-2410

Mailing address

332 Bleecker St
#844
New York, NY 10014-2980

National Provider Directory

National Provider Directory

Locations

332 Bleecker St
New York, NY 10014
Phone (917) 757-7480

8715 115th St
Richmond Hill, NY 11418
Phone (718) 250-4600

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1750838488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BLEECKER ST",
            "address_2": "#844",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 115TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182410",
            "telephone_number": "718-805-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "BOPPANA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-270-1050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "199052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.