Floral Park Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

232885 Issued in NY

Legal business name

FLORAL PARK MEDICAL PC

Practice address

25720 Hillside Ave
First Floor
Floral Park, NY 11004-1653

Phone

(917) 903-3885

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Himanshu Pandya, MDNPI 1003896929

Title

President

Phone

(917) 903-3885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hillside Manor Rehabilitation and Extended Care Center, LLC

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1043392657

  Adp of the SNF

  CMS ownership

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Himanshu Pandya, MD

  • Internal Medicine Physician
  • Floral Park, NY
  • NPI 1003896929
  Medicare reassignment Authorized official
• Pritben Patel, PA

  • Physician Assistant
  • Clifton, NJ
  • NPI 1932833993

  NY

  Medicare reassignment
• Craig Andrew Baldenhofer, M.D.

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
  • NPI 1679755334
  NPD (past)
• Won Chee, M.D.

  • Anesthesiology Physician
  • Mineola, NY
  • NPI 1558347203
  NPD (past)
• Mikhail Chernov, M.D.

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1346223526
  NPD (past)
• Isabelle Deleon, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1780666149
  NPD (past)
• Philip Harris, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1518954262
  NPD (past)
• Stefan Kieserman, MD

  • Specialist
  • New York, NY
  • NPI 1154395234
  NPD (past)
• Nimesh Patel, MD

  • Legal Medicine
  • Astoria, NY
  • NPI 1588643779
  NPD (past)
• Guy Salomon, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1417932435
  NPD (past)
• Timothy D Segal, MD

  • Psychiatry Physician
  • New York, NY
  • NPI 1316058233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1023147378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TOTTENHAM PL",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403517",
            "telephone_number": "516-873-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25720 HILLSIDE AVE",
            "address_2": "FIRST FLOOR",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041653",
            "telephone_number": "917-903-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORAL PARK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-903-3885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floral Medical Arts, P.C.
• Floral Obstetrics and Gynecology PC
• Floral Park Arthritis, PC
• Floral Park Chemists Inc
• Floral Park Dental Care,PC
• Floral Park Ophthalmology, PC
• Floral Park-Bellerose Union Free School District
• Floral Shoes (d.moss shoes)
• Flourishing Minds Applied Behavior Analyst PC
• Kandie Fonrose

• Internal Medicine Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.