Organization Active NPI

Jayesh Kamdar, MD

  • Neurology Physician
  • Rego Park, NY
National Provider Identifier
1972804912
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
164457 Issued in NY
Legal business name
JAYESH KAMDAR, MD
Practice address
99-78 65TH Road
Ground Floor
Rego Park, NY 11374
Phone
(718) 685-2908
Fax
(718) 685-2991
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Jayesh C Kamdar, M.D.
Title
Neurologist/Practice Owner
Phone
(718) 695-2908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 164457 NY Primary

Addresses

Primary practice location

99-78 65TH Road
Ground Floor
Rego Park, NY 11374

Mailing address

9978 65TH Rd
Ground Floor
Rego Park, NY 11374-3655
Phone (718) 685-2908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1972804912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9978 65TH RD",
            "address_2": "GROUND FLOOR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743655",
            "telephone_number": "718-685-2908",
            "fax_number": "718-685-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-78 65TH ROAD",
            "address_2": "GROUND FLOOR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-685-2908",
            "fax_number": "718-685-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYESH KAMDAR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NEUROLOGIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "718-695-2908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "164457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.