Individual provider Active NPI

Rojasudha Vatti, MD

  • Family Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1982881900
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246697 Issued in NY
Practice address
10460 Queens Blvd
Apt # 12 G
Forest Hills, NY 11375-7301
Phone
(347) 233-4517
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 246697 NY Primary

Addresses

Primary practice location

10460 Queens Blvd
Apt # 12 G
Forest Hills, NY 11375-7301

Mailing address

10460 Queens Blvd
Apt # 12 G
Forest Hills, NY 11375-7301
Phone (347) 233-4517

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

LicenseStateTypeSpecialty
246697NYMDFamily Medicine Physician

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1982881900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD",
            "address_2": "APT # 12 G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757301",
            "telephone_number": "347-233-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD",
            "address_2": "APT # 12 G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757301",
            "telephone_number": "347-233-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTI",
        "first_name": "ROJASUDHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.