SUDHA PATEL MD PLLC (NPI# 1689856403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689856403 |
| Entity Type | Organization |
| Organization Name | SUDHA PATEL MD PLLC |
| Other Organization Name | SUDHA PATEL M.D. |
| Practice Address |
1835 Bay Ridge Parkway Brooklyn NY 11204-5706 |
| Mailing Address |
1835 Bay Ridge Pkwy Brooklyn NY 11204-5706 |
| Practice Telephone | 7182366025 |
| Practice Fax Number | 7182366391 |
| Mailing Telephone | 7182366025 |
| Mailing Fax Number | 7182366391 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. SUDHA P. PATEL (PRESIDENT) |
| Authorized Official Telephone | 7182366025 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SUDHA PATEL MD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
129033 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | 328641 | 01 |
| NY | 00548861 | 05 | |
| NY | CONNECTICARE | 392382 | 01 |
| NY | HIP | M4070P | 01 |
| NY | GHI | 0008818 | 01 |
| NY | ELDERPLAN | 171260 | 01 |
| NY | HEALTHNET | 6C0182 | 01 |
| NY | OXFORD | P2042835 | 01 |
| Other Name | Type Code |
|---|---|
| Sudha Patel M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851568091 | Sudha Patel Md Pllc | Surgery | 1835 Bay Ridge Pkwy, Brooklyn, NY 11204-5706 | 2008-05-15 |
| Street Address |
1835 BAY RIDGE PARKWAY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936424 | Sudha P Patel | Surgery | 1835 Bay Ridge Parkway, Brooklyn, NY 11204 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1982946877 | Forest Hills Medical & Diagnostic | Clinic/Center | 1735 Pitkin Ave, Brooklyn, NY 11212-6603 | 2013-03-19 |
| 1013293588 | Physio Logic Medicine, P.C. | Clinic/Center | 409 Fulton Street, 2nd Floor, Brooklyn, NY 11201 | 2011-10-28 |
| 1124290291 | Altair Medical, P.C. | Clinic/Center | 1115 Ocean Pkwy Ste 1, Brooklyn, NY 11230-4075 | 2008-03-29 |
| 1609048073 | Shorefront Medical Care | Clinic/Center | 2010 86th St, Brooklyn, NY 11214-3204 | 2008-03-26 |
| 1780895094 | Lyudmila Cavalier Physician PC | Clinic/Center | 9014 Flatlands Ave, Brooklyn, NY 11236-3616 | 2007-05-25 |
| 1821210402 | Crown Heights Medical, P.C. | Clinic/Center | 540 E New York Ave, Brooklyn, NY 11225-4514 | 2007-05-03 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.