Kadkade MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219617 Issued in NY

Legal business name

KADKADE MD PLLC

Practice address

891 Northern Blvd
Suite 203
Great Neck, NY 11021-5334

Phone

(516) 669-7467

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Prajoy Kadkade, MDNPI 1487687851

Title

Owner

Phone

(516) 669-7467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Prajoy Kadkade, M.D.

  • Otolaryngology Physician
  • Sunnyside, NY
  • NPI 1487687851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1992108138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 NORTHERN BLVD",
            "address_2": "SUITE 203",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215334",
            "telephone_number": "516-669-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 NORTHERN BLVD",
            "address_2": "SUITE 203",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215334",
            "telephone_number": "516-669-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADKADE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "KADKADE",
        "authorized_official_first_name": "PRAJOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-669-7467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Jacob Jurim, DDS
• Juval Spector DDS
• Jy Well-Being Physical Therapy PC
• K. Jacob Cohen-Kashi MD & Lawrence C. Lin MD PLLC
• Alan Stuart Kadison, MD
• Laura Kaempf, M.S.
• Amy R. Kahaner, LMHC
• Cherie Kahen
• Perela Kahen, DPT
• Simone Brookhim Kahen, DDS

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.