Provider Demographics
NPI:1033272257
Name:KIRIT DHARIA MD,PC
Entity Type:Organization
Organization Name:KIRIT DHARIA MD,PC
Other - Org Name:NEWTOWN MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:M
Authorized Official - Last Name:DHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-728-7550
Mailing Address - Street 1:3289 46TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1911
Mailing Address - Country:US
Mailing Address - Phone:718-728-7550
Mailing Address - Fax:718-728-7550
Practice Address - Street 1:3289 46TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-1911
Practice Address - Country:US
Practice Address - Phone:718-728-7550
Practice Address - Fax:718-728-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115592208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02N0092OtherNEIGHBORHOOD
NY24968POtherHIP
NY01-00087OtherUNITED HEALTHCARE
NYDP120OtherOXFORD
NY1000038373OtherAFFINITY
NY169245OtherELDERPLAN
NY59F351OtherBCBS
NY00115592OtherMETROPLUS
NY00213552Medicaid
NY10211211OtherAMERIGROUPCORP
NY115592-A48OtherHEALTH FIRST
NY62207303OtherMULTIPLAN
NYKIR36DEO332OtherHORIZON
NY4234909OtherAETNA
NY00000009424OtherGHI PPO
NY0085283OtherGHI
NY0712096-012OtherCIGNA
NY370012242OtherHEALTH PLUS
NY169245OtherELDERPLAN
NY01-00087OtherUNITED HEALTHCARE