Active NPI
Kailash Chandra Saxena
- Otolaryngology Physician
- Bronx, NY
National Provider Identifier
1790597052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- P133543
- Practice address
- 828 E 149TH St
Bronx, NY 10455-4670 - Phone
- (718) 583-7736
- Fax
- (844) 457-7750
- NPI assigned
- Jan 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | P133543 | NY | Primary |
| Allergy & Immunology Physician | 207K00000X | P133543 | NY |
Addresses
Primary practice location
828 E 149TH St
Bronx, NY 10455-4670
Mailing address
216 N 2ND St
Bethpage, NY 11714-2104
Phone (516) 503-1179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P133543 | NY | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1790597052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 N 2ND ST",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142104",
"telephone_number": "516-503-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 E 149TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104554670",
"telephone_number": "718-583-7736",
"fax_number": "844-457-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAXENA",
"first_name": "KAILASH",
"middle_name": "CHANDRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "P133543",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "P133543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.