Active NPI
Rajeev Vohra, M.D.
- Surgery Physician
- Hewlett, NY
National Provider Identifier
1760478978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 178004
- Practice address
- 1420 Broadway
Hewlett, NY 11557-1352 - Phone
- (516) 374-8670
- Fax
- (516) 374-8675
- NPI assigned
- Sep 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 178004 | NY | Primary |
Addresses
Primary practice location
1420 Broadway
Hewlett, NY 11557-1352
Mailing address
PO Box 1150
Syosset, NY 11791-0489
Phone (516) 551-1968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618024 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040922001213 | NY | Practitioner - General Surgery | 2860460219 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1760478978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117910489",
"telephone_number": "516-551-1968",
"fax_number": "516-374-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571352",
"telephone_number": "516-374-8670",
"fax_number": "516-374-8675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOHRA",
"first_name": "RAJEEV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "178004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01618024",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.