Individual provider Active NPI

Rajeev Vohra, M.D.

  • Surgery Physician
  • Hewlett, NY
National Provider Identifier
1760478978
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
178004 Issued in NY
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

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01618024MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.