NPIMap

Individual provider Active NPI

Manish Chadha, M.D.

  • Internal Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1992903264
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249700 Issued in NY
Practice address
332 E Main St
Bay Shore, NY 11706-8436
Phone
(631) 665-5074
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 249700 NY Primary

Addresses

Primary practice location

332 E Main St
Bay Shore, NY 11706-8436

Mailing address

98 Caramel Rd
Commack, NY 11725-1000
Phone (631) 335-3403

Other identifiers 2

IdentifierTypeStateIssuer
001455880MedicaidCT
03040755MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000565 NY Practitioner - Internal Medicine 1254428626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

332 E Main St
Bay Shore, NY 11706-8436
Phone (631) 666-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Feb 5, 2024 Accepting new patients
Dinesh Sethi Physician PC Internal Medicine CurrentSince Jul 19, 2024 Accepting new patients
My Wellness Medical PLLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Feb 5, 2024 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Internal Medicine Past Accepting new patients

Locations

280 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 666-3939

332 E Main St
Bay Shore, NY 11706
Phone (631) 665-3737

356 Veterans Memorial Hwy
Ste 5
Commack, NY 11725
Phone (347) 743-9951

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

300 Community Dr
Plandome, NY 11030

855 Montauk Hwy
Shirley, NY 11967
Phone (631) 651-4900

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

1521 Straight Path
Wyandanch, NY 11798
Phone (631) 643-3800

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIFDD/Endpoint/FCIFDD
  • Direct secure messaging: manishchadha@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1992903264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CARAMEL RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251000",
            "telephone_number": "631-335-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068436",
            "telephone_number": "631-665-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001455880",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03040755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.