Active NPI
Prehealthcare Management Associates Inc.
- Anesthesiology Physician
- Great Neck, NY
National Provider Identifier
1083916571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PREHEALTHCARE MANAGEMENT ASSOCIATES INC.
- Practice address
- 307 E Shore Rd FL 2
Great Neck, NY 11023-2420 - Phone
- (516) 487-5858
- Fax
- (516) 487-3133
- NPI assigned
- Dec 3, 2010
- Organization subpart
- Yes
- Parent organization
- PREHEALTHCARE MANAGEMENT ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanta Mallikarjuna
- Title
- President/Manager
- Phone
- (516) 487-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
307 E Shore Rd FL 2
Great Neck, NY 11023-2420
Mailing address
307 E Shore Rd FL 2
Great Neck, NY 11023-2420
Phone (516) 487-5858
National Provider Directory
National Provider Directory- Part of
- Prehealthcare Management Associates Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291334400000",
"number": "1083916571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E SHORE RD FL 2",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232420",
"telephone_number": "516-487-5858",
"fax_number": "516-487-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E SHORE RD FL 2",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232420",
"telephone_number": "516-487-5858",
"fax_number": "516-487-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREHEALTHCARE MANAGEMENT ASSOCIATES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREHEALTHCARE MANAGEMENT ASSOCIATES INC",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A",
"authorized_official_last_name": "MALLIKARJUNA",
"authorized_official_first_name": "SHANTA",
"authorized_official_title_or_position": "PRESIDENT/MANAGER",
"authorized_official_telephone_number": "516-487-5858"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Panisha Pradhan, DPT
- Roberta C Pravder, M.S. ED.
- Precision Medicine Insights PC
- Precision Pharmacy Inc of Great Neck
- Precision Pharmacy Inc of Great Neck
- Premier Radiation Oncology of Nassau, PC
- Prestige Medical Diagnostics, P.C.
- Cheryl J Preston, OTR/L
- Mary Jane M Preston, PT, MS
- Lenore Geralyn Primiano, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.