Sudha Patel MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

129033 Issued in NY

Legal business name

SUDHA PATEL MD PLLC

Practice address

1835 Bay Ridge Pkwy
Brooklyn, NY 11204-5706

Phone

(718) 236-6025

Fax

(718) 236-6391

NPI assigned

May 15, 2008

Organization subpart

Yes

Parent organization

SUDHA PATEL, MD PLLCAs reported in NPPES

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

Authorized official

Name

Miss Sudha P PatelNPI 1205936424

Title

Owner

Phone

(718) 236-6025

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Sudha Patel MD PLLC2 organizations share this tax ID, including this one

Part of

Sudha Patel MD PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sudha Patel MD PLLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1689856403
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudha P Patel, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1205936424
  Medicare reassignment NPD Authorized official
• Rushita H Patel, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1588868749
  Medicare reassignment NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1851568091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-236-6025",
            "fax_number": "718-236-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA PATEL MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUDHA PATEL, MD PLLC",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-236-6025",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "129033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00548861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0143156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele F Sudano, LCSW
• Sudara PT PC
• Rahat Nawaz Suddle, MD
• Gayathri Sudha Hari, M.D.
• Sudha Patel MD PLLC
• Sudha R Shah MD PC
• Elisabeth Jean Sudiker
• Bruno Marius Suditu, PA
• Kenay Magdalene Sudler, M.S. CCC-SLP
• Shanece Sudlow, THERAPIST

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.