Organization Active NPI

Prehealthcare Management Associates Inc.

  • Anesthesiology Physician
  • Great Neck, NY
National Provider Identifier
1083916571
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

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.

Verify at the official NPI Registry.