Physician Compare National (NPI:1003911645)

HEALTHCARE PROVIDER: KALPESH S AMIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003911645
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042296766
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040624001442
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AMIN
	Individual professional last name
Provider First Name	KALPESH
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	6911 FOREST AVE
	Group Practice or individual's line 1 address
City	RIDGEWOOD
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113854457
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7184978419
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330195
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330106
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330014
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JAMAICA HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330101
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NEW YORK-PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y