Individual provider Active NPI

Ashok K Rajput, MD

  • Geriatric Psychiatry Physician
  • Middle Village, NY
National Provider Identifier
1861595308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
163232 Issued in NY
Practice address
8404 Penelope Ave
Middle Village, NY 11379-2433
Phone
(718) 894-6963
Fax
(718) 523-2728
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 163232 NY Primary

Addresses

Primary practice location

8404 Penelope Ave
Middle Village, NY 11379-2433

Mailing address

21 Phaetons Dr
Melville, NY 11747-2028
Phone (631) 421-4264

Other identifiers 1

IdentifierTypeStateIssuer
00929020MedicaidNY

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
I20070919000450 NY Practitioner - Psychiatry 7719071927 Practice locations: Glen Cove, NY; Middle Village, NY; Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8404 Penelope Ave
Middle Village, NY 11379-2433
Phone (718) 894-6963

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bicounty Pulmonary Medicine PC PastSince Jun 21, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arajput14088@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861595308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PHAETONS DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472028",
            "telephone_number": "631-421-4264",
            "fax_number": "631-421-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792433",
            "telephone_number": "718-894-6963",
            "fax_number": "718-523-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPUT",
        "first_name": "ASHOK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "163232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.