Individual provider Active NPI

Bhiravi Nadarajah

  • Physician Assistant
  • Kew Gardens, NY
National Provider Identifier
1891168167
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019237 Issued in NY
Practice address
8550 118TH St
Kew Gardens, NY 11415-2908
Phone
(718) 441-4363
NPI assigned
Nov 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019237 NY Primary

Addresses

Primary practice location

8550 118TH St
Kew Gardens, NY 11415-2908

Mailing address

8550 118TH St
Kew Gardens, NY 11415-2908

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814002004 NY Order and Referring Only - Physician Assistant 7214399872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1446940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1891168167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 118TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 118TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152908",
            "telephone_number": "718-441-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADARAJAH",
        "first_name": "BHIRAVI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-08",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.