Provider Demographics
NPI:1386640696
Name:TALWAR, ROHIT (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:TALWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WEST MAIN STREET, NSLIJ CENTER FOR SPECIALTY CARE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3028
Mailing Address - Country:US
Mailing Address - Phone:631-539-5400
Mailing Address - Fax:631-539-5401
Practice Address - Street 1:500 WEST MAIN STREET, NSLIJ CENTER FOR SPECIALTY CARE
Practice Address - Street 2:SUITE 204
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3028
Practice Address - Country:US
Practice Address - Phone:631-539-5400
Practice Address - Fax:631-539-5401
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2039942080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1812456OtherUNITEDHEALTHCARE
NY87570OtherVYTRA PROVIDER #
NY01020399NY01OtherANTHEM NY
NY2101948OtherGHI
NY59070OtherMAGNACARE
NY01884046Medicaid
NY040426010760OtherFIDELIS HEALTHCARE
NY2624855OtherCIGNA
NY2C1058OtherHEALTHNET
NY5957720OtherAETNA/US HEALTHCARE
NY3U1341OtherBLUE CROSS BLUE SHIELD
NYP998880OtherOXFORD HEALTH PLANS
NYAA70071OtherMDNY
NY25-08314OtherUHC CHILD PLUS
NY1812456OtherUNITEDHEALTHCARE
NY2101948OtherGHI