Active NPI
Chaughtai Medical PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1992530455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241210001487 | NY | Part B Supplier - Clinic/Group Practice | 3375079635 | Practice locations: Ridgewood, NY |
National Provider Directory
National Provider DirectoryLocations
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.