Individual provider Active NPI

Dilip V Subhedar, M.D.

  • Interventional Pain Medicine Physician
  • Suffern, NY
National Provider Identifier
1780699348
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
183858-1 Issued in NY
Practice address
257 Lafayette Ave Ste 285
Suffern, NY 10901-4837
Phone
(845) 353-5600
Fax
(804) 261-4904
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA05330700 NJ
Anesthesiology Physician 207L00000X 183858-1 NY
Interventional Pain Medicine Physician 208VP0014X 25MA05330700 NJ
Interventional Pain Medicine Physician 208VP0014X 183858-1 NY Primary

Addresses

Primary practice location

257 Lafayette Ave Ste 285
Suffern, NY 10901-4837

Mailing address

20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 353-5600

Other identifiers 3

IdentifierTypeStateIssuer
02839641MedicaidNY
0016063MedicaidNJ
0017911420001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000006 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 6709879562 Reassigns benefits to 2 organizations
I20110113000827 NY Practitioner - AnesthesiologyPractitioner - Pain Management 6709879562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183858-1NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Dec 31, 2016 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Jun 1, 2020 Accepting new patients
Quality Anesthesia Services Anesthesiology CurrentSince Feb 10, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Feb 16, 2020 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

133 N Kinderkamack Rd
Montvale, NJ 07645
Phone (201) 307-4810

30 Cragmere Rd
Airmont, NY 10901
Phone (845) 348-2000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1 Hatfield Ln
Ste 1B
Goshen, NY 10924
Phone (845) 291-0966

111 Maltese Dr
Middletown, NY 10940

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

32 Canal St
Port Jervis, NY 12771
Phone (845) 291-3656

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

257 Lafayette Ave
Ste 140
Suffern, NY 10901
Phone (845) 777-3550

100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745

257 Lafayette Ave
Ste 285
Suffern, NY 10901
Phone (845) 353-5600

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1780699348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-353-5600",
            "fax_number": "804-261-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVE STE 285",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014837",
            "telephone_number": "845-353-5600",
            "fax_number": "804-261-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBHEDAR",
        "first_name": "DILIP",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05330700",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "183858-1",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA05330700",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "183858-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02839641",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016063",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017911420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.