Provider Demographics
NPI:1730131145
Name:NAIK, SANJAY D (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:D
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 28064
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-8064
Mailing Address - Country:US
Mailing Address - Phone:914-593-7880
Mailing Address - Fax:914-593-7881
Practice Address - Street 1:688 WHITE PLAINS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5059
Practice Address - Country:US
Practice Address - Phone:914-723-3322
Practice Address - Fax:914-723-3592
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223067207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000178OtherMEDICARE GROUP PTAN
NY00761422Medicaid
NY110006613OtherRAILROAD MEDICARE
NYP00927309OtherRAILROAD MEDICARE PTAN
NYP00927309OtherRAILROAD MEDICARE PTAN
NY85A831Medicare PIN