KT Medical Healthcare PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

196376 Issued in NY

Legal business name

KT MEDICAL HEALTHCARE PC

Practice address

6517 Myrtle Ave
Glendale, NY 11385-6248

Phone

(347) 721-3425

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kamal Aziz Tadros, M.D.NPI 1063467546

Title

Owner

Phone

(347) 721-3425

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Kamal A Tadros, M.D.

  • Internal Medicine Physician
  • Rosedale, NY
  • NPI 1063467546
  NPD Authorized official

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1063871549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856248",
            "telephone_number": "347-721-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856248",
            "telephone_number": "347-721-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-721-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "196376",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie Alicia Kirtinitis-Turkmen, O.D.
• Amanda Marie Klatch, LMSW
• Maayan Klein, LCSW
• Knickerbocker Dialysis Inc (Atlas Park Dialysis)
• Anna Kopacz, DPT
• Sherry R. Kunjbehari, PA
• Machiko Kurosawa, M.S.W.
• Yulia Kuznetsova, ASSOCIATED
• Jennifer Lack
• Grace Lee Lam, DDS

• Rehabilitation Clinic/Center in Glendale, NY
• Providers in Glendale, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.