Dr Rajiv Datta, MD | |
1 S Central Ave, Valley Stream, NY 11580-5443 | |
(516) 632-3300 | |
(516) 632-3355 |
Full Name | Dr Rajiv Datta |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 1 S Central Ave, Valley Stream, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457347601 | NPI | - | NPPES |
01621461 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 201327 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Sinai South Nassau | Oceanside, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Medical Group Of The Mount Sinai School Of Medicine | 8921999087 | 273 |
Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
Entity Name | Mount Sinai School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Rajiv Datta, MD 1 Healthy Way, Attn: Physician Billing, Oceanside, NY 11572-1551 Ph: (516) 255-1616 | Dr Rajiv Datta, MD 1 S Central Ave, Valley Stream, NY 11580-5443 Ph: (516) 632-3300 |
Hideo Takahashi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 S Central Ave, Valley Stream, NY 11580 Phone: 516-632-3359 Fax: 516-632-3355 | |
Dr. Ira Klonsky, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 210 E Sunrise Hwy, Suite 303, Valley Stream, NY 11581 Phone: 516-568-9119 Fax: 516-568-9485 | |
Dr. Devendra Brahmbhatt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 E Sunrise Hwy Ste 303, Valley Stream, NY 11581 Phone: 516-568-9119 Fax: 516-568-9485 | |
Dr. Michael G. Persico, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy, Suite 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 | |
Hsu-tsai Chi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 S Central Ave, Valley Stream, NY 11580 Phone: 516-632-3350 | |
Dr. John Babalola, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy, Ste 200, Valley Stream, NY 11581 Phone: 516-825-3600 |