1982751103 NPI number — SMITA BISWAS M.D.

Table of content: SMITA BISWAS M.D. (NPI 1982751103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982751103 NPI number — SMITA BISWAS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BISWAS
Provider First Name:
SMITA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982751103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 WALKER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10013-4135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-226-8866
Provider Business Mailing Address Fax Number:
212-226-2289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
268 CANAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-3599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-966-0228
Provider Business Practice Location Address Fax Number:
212-379-6935
Provider Enumeration Date:
01/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  203270 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1252243 . This is a "AETNA HMO PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1902108 . This is a "UNITEDHEALTHCARE PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 837E11 . This is a "BCBS PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5227732 . This is a "AETNA PPO PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01750187 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 16P0262 . This is a "NEW YORK PRESBYTERIAN PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5C4605 . This is a "HEALTHNET PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 837E12 . This is a "BCBS PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9151280001 . This is a "CIGNA PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 203270-N02 . This is a "HIP PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 204494354 . This is a "TAX ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0296324 . This is a "GROUP HEALTH INC PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 16P0261 . This is a "NEW YORK PRESBYTERIAN PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P885574 . This is a "OXFORD PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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