Roshan Kothandaram Physician P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROSHAN KOTHANDARAM PHYSICIAN P.C

Practice address

14 Linden St
Garden City, NY 11530-1811

Phone

(516) 884-4882

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Roshan Kothandaram, MD

Title

Ceo

Phone

(516) 884-4882

Specialties & licenses 1

Addresses

Other names 1

• Roshan Kothandaram Physician P.C Former legal business name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: roshankothandaram@direct.practicefusion.com

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1144849506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LINDEN ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301811",
            "telephone_number": "516-884-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LINDEN ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301811",
            "telephone_number": "516-884-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHAN KOTHANDARAM PHYSICIAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-884-4882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RoshanKothandaram@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging",
            "address_1": "14 Linden St",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115301811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roshan Kothandaram Physician P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Andrew B Rosenberg, M.D.
• Gary S Rosenberg, M.D.
• Elisheva Aziza Rosenfeld, DDS
• Edwin H Rosenwasser, M.D.
• Wendy Ann Rosete, LCSW
• Frances Gabhriel Ross, MD
• Liana Ross, MHC-LP
• Samuel Warren Ross
• Julie Ann Rossen, DPT
• Christine Rota

• Internal Medicine Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.