NPIMap

Organization Active NPI

Pandya King Group PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1124058334
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PANDYA KING GROUP PA
Practice address
1656 Medical Blvd
Ste 302
Naples, FL 34110-1423
Phone
(239) 513-0363
Fax
(239) 513-7923
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Sunil Ramesh Pandya, MDNPI 1811921729
Title
President
Phone
(239) 287-0798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1656 Medical Blvd
Ste 302
Naples, FL 34110-1423

Mailing address

PO Box 161557
Miami, FL 33116-1557
Phone (239) 513-0363

National Provider Directory

National Provider Directory

Locations

11121 Health Park Blvd
#70
Naples, FL 34110
Phone (239) 513-0942

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1124058334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161557",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331161557",
            "telephone_number": "239-513-0363",
            "fax_number": "239-513-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD",
            "address_2": "STE 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-513-0363",
            "fax_number": "239-513-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDYA KING GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-287-0798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.