Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ajay Padaki, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1053766642

Ajay Padaki, MD is an Orthopedic Surgery in Great Neck, New York. Graduated from Columbia University College of Physicians and Surgeons in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

833 Northern Blvd Ste 220
Great Neck, NY 11021-5339
Phone: (516) 622-7945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 317385 (NY)

Record details

NPI number1053766642
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address833 Northern Blvd Ste 220, Great Neck, NY 11021-5339

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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