Northeast Rheumatology PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

270125 Issued in NY

Legal business name

NORTHEAST RHEUMATOLOGY PC

Practice address

85-49 Eliot Avenue Unit G
Rego Park, NY 11374

Phone

(718) 424-2663

Fax

(929) 328-0545

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Shaifali Dugar, M.D.NPI 1528385739

Title

President

Phone

(718) 806-1434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIJHAD

Practitioners 2

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

• Shaifali Dugar, M.D.

  • Rheumatology Physician
  • Rego Park, NY
  • NPI 1528385739
  Medicare reassignment NPD Authorized official
• Mohit Dugar, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1679734016
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1992195283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PEBBLE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772711",
            "telephone_number": "718-886-4848",
            "fax_number": "718-886-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-49 ELIOT AVENUE UNIT G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-424-2663",
            "fax_number": "929-328-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Glen St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422783",
            "country_code": "US",
            "telephone_number": "516-759-0560",
            "fax_number": "516-676-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DUGAR",
        "authorized_official_first_name": "SHAIFALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "270125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imma Normatova, MS, RD, CLC
• Mazal Normatova
• Shushana Normatova, COTA
• North Shore Medical PLLC
• Northeast Rheumatology Infusions PC
• Nova OT PC
• Novel Medicine PC
• Haleh Nowroozi
• Ny Advanced Neurology PC
• Ny Diabetes & Endocrinology Care PC

• Rheumatology Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.