MR. DIBYENDU S. PANDEY PA
NPI 1851502181
Physician Assistant - Medical in Staten Island, NY

Active since May 25, 2007PECOS Enrolled
17 SAXON AVE, STATEN ISLAND, NY 10314(718) 780-5686(718) 780-3105 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dibyendu S. Pandey Pa NPPES

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

MR. DIBYENDU S. PANDEY PA (NPI 1851502181) is an individual medical provider in Staten Island, New York, licensed in New York (007543) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851502181
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DIBYENDU S. PANDEYCredential: PA
Location Address17 SAXON AVEStaten Island, NY 10314-4813
Mailing Address17 Saxon AveStaten Island, NY 10314-4813 · (718) 780-5686 · Fax (718) 780-3105
Fax(718) 780-3105
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1851502181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 007543
17 SAXON AVE, Staten Island, NY 10314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Dibyendu S. Pandey Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Dibyendu Pandey's NPI number?

The NPI number for Dibyendu Pandey is 1851502181. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Dibyendu Pandey located?

Dibyendu Pandey practices at 17 Saxon Ave, Staten Island, NY 10314. The listed phone number is (718) 780-5686.

What is Dibyendu Pandey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dibyendu Pandey enrolled in Medicare?

Yes. Dibyendu Pandey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dibyendu Pandey was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.