Active NPI
Dhave Setabutr, M.D.
- Pediatric Otolaryngology Physician
- New Hyde Park, NY
National Provider Identifier
1972763399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 281238
- Practice address
- 430 Lakeville Rd
New Hyde Park, NY 11042-1121 - Phone
- (718) 470-7550
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT193222 | PA | |
| Pediatric Otolaryngology Physician | 207YP0228X | 281238 | NY | Primary |
Addresses
Primary practice location
430 Lakeville Rd
New Hyde Park, NY 11042-1121
Mailing address
430 Lakeville Rd
New Hyde Park, NY 11042-1121
Phone (718) 470-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281238 | NY | MD | Pediatric Otolaryngology Physician |
| MT193222 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1972763399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 LAKEVILLE RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421121",
"telephone_number": "718-470-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 LAKEVILLE RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421121",
"telephone_number": "718-470-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETABUTR",
"first_name": "DHAVE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT193222",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "281238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.