Provider Demographics
NPI:1699087148
Name:BAJPAYI, PRIYADARSHAN (MD)
Entity type:Individual
Prefix:DR
First Name:PRIYADARSHAN
Middle Name:
Last Name:BAJPAYI
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 1:5550 MERRICK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6238
Mailing Address - Country:US
Mailing Address - Phone:631-673-3233
Mailing Address - Fax:631-673-1314
Practice Address - Street 1:5550 MERRICK RD STE 300
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-6238
Practice Address - Country:US
Practice Address - Phone:631-673-3233
Practice Address - Fax:631-673-1314
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2580772084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03261938Medicaid
NY142DJ3OtherEMPIRE BLUE CROSS
669004OtherBEACON HEALTH OPTIONS
NY03261938Medicaid