NPIMap

Organization Active NPI

Ila Sukhadia, Medical, P.C.

  • Medical Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1942461967
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
249019 Issued in NY
Legal business name
ILA SUKHADIA, MEDICAL, P.C.
Practice address
1235 Arden Ave
Staten Island, NY 10312-4148
Phone
(718) 948-3400
Fax
(718) 966-2560
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Dr. Ila Jitendra Sukhadia, MDNPI 1801869565
Title
President
Phone
(718) 948-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 249019 NY Primary

Addresses

Primary practice location

1235 Arden Ave
Staten Island, NY 10312-4148

Mailing address

1235 Arden Ave
Staten Island, NY 10312-4148
Phone (718) 948-3400

Other names 2

  • Progressive Pediatrics Doing business as
  • Jitendra Sukhadia, M.D.P.C. DBA Progressive Pediatrics Former legal business name

National Provider Directory

National Provider Directory

Locations

1235 Arden Ave
Staten Island, NY 10312
Phone (718) 948-3400

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1942461967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124148",
            "telephone_number": "718-948-3400",
            "fax_number": "718-966-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124148",
            "telephone_number": "718-948-3400",
            "fax_number": "718-966-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILA SUKHADIA, MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "SUKHADIA",
        "authorized_official_first_name": "ILA",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-948-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "249019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jitendra Sukhadia, M.D.P.C. DBA Progressive Pediatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.