Organization Active NPI

Chaughtai Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1992530455
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHAUGHTAI MEDICAL PC
Practice address
493 Marcy Ave
Brooklyn, NY 11206-7404
Phone
(718) 676-2715
Fax
(718) 676-2716
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Saira Chaughtai, MD
Title
Owner
Phone
(631) 871-7257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

493 Marcy Ave
Brooklyn, NY 11206-7404

Mailing address

104 Waypoint Dr
Eatontown, NJ 07724-2184
Phone (718) 676-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210001487 NY Part B Supplier - Clinic/Group Practice 3375079635 Practice locations: Ridgewood, NY

National Provider Directory

National Provider Directory

Locations

493 Marcy Ave
Brooklyn, NY 11206
Phone (718) 599-3867

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1992530455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WAYPOINT DR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242184",
            "telephone_number": "718-676-2715",
            "fax_number": "718-676-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 MARCY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067404",
            "telephone_number": "718-676-2715",
            "fax_number": "718-676-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUGHTAI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CHAUGHTAI",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-871-7257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.