DEEPTI DEEPAK MAHAJAN
NPI 1467156901
Student in an Organized Health Care Education/Training Program in Manhasset, NY

Active since March 29, 2023PECOS Enrolled
300 COMMUNITY DR, MANHASSET, NY 11030(718) 470-7717 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deepti Deepak Mahajan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEPTI DEEPAK MAHAJAN (NPI 1467156901) is an individual student in an organized health care education/training program in Manhasset, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2023).

NPPES Registry Identity

NPI1467156901
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEEPTI DEEPAK MAHAJAN
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816 · (718) 470-7717
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2023
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1467156901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 COMMUNITY DR, Manhasset, NY 11030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepti Deepak Mahajan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254804875
PECOS Enrollment IDI20260625001642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Deepti Mahajan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deepti Mahajan's NPI number?

The NPI number for Deepti Mahajan is 1467156901. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Deepti Mahajan located?

Deepti Mahajan practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (718) 470-7717.

What is Deepti Mahajan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Deepti Mahajan enrolled in Medicare?

Yes. Deepti Mahajan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deepti Mahajan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepti Mahajan reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deepti Mahajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deepti Mahajan was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.