Active NPI
Ashok K Rajput, MD
- Geriatric Psychiatry Physician
- Middle Village, NY
National Provider Identifier
1861595308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 163232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00929020 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bicounty Pulmonary Medicine PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pulmonary Disease Physician
- Middle Village, NY
- NPI 1548885643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.