Organization Active NPI

JMSK Medical

  • Specialist
  • Bayside, NY
National Provider Identifier
1104199405
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JMSK MEDICAL
Practice address
22648 76TH Ave
Bayside, NY 11364-3129
Phone
(718) 464-6322
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Ramkumar Panhani, MD
Title
Owner
Phone
(718) 464-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

22648 76TH Ave
Bayside, NY 11364-3129

Mailing address

22648 76TH Ave
Bayside, NY 11364-3129
Phone (718) 464-6322

Other identifiers 1

IdentifierTypeStateIssuer
01583586MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1104199405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22648 76TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643129",
            "telephone_number": "718-464-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22648 76TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643129",
            "telephone_number": "718-464-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMSK MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "PANHANI",
        "authorized_official_first_name": "RAMKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-464-6322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01583586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.