Organization Active NPI

Chestnut Medical Assc PC

  • Internal Medicine Physician
  • Cedarhurst, NY
National Provider Identifier
1760589469
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
111996 Issued in NY
Legal business name
CHESTNUT MEDICAL ASSC PC
Practice address
144 Grove Ave
Cedarhurst, NY 11516-2315
Phone
(516) 374-6664
Fax
(516) 374-6671
NPI assigned
Sep 17, 2006
Last updated
Jul 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Dr. Tara S Saini, MD
Title
President
Phone
(516) 374-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 111996 NY Primary

Addresses

Primary practice location

144 Grove Ave
Cedarhurst, NY 11516-2315

Mailing address

144 Grove Ave
Cedarhurst, NY 11516-2315
Phone (516) 374-6664

Other identifiers 1

IdentifierTypeStateIssuer
00202382MedicaidNY

National Provider Directory

National Provider Directory

Locations

150 Beach 9th St
#B
Far Rockaway, NY 11691
Phone (516) 374-6664

327 Beach 19th St
#B
Far Rockaway, NY 11691
Phone (718) 869-7000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1760589469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162315",
            "telephone_number": "516-374-6664",
            "fax_number": "516-374-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162315",
            "telephone_number": "516-374-6664",
            "fax_number": "516-374-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT MEDICAL ASSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "111996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.