Individual provider Active NPI

Athula Gunasekara, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1154583458
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P62129 Issued in NY
Practice address
3 E 101St St Apt 5a
New York, NY 10029-6530
Phone
(212) 241-4029
Fax
(212) 876-1493
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X P62129 NY Primary

Addresses

Primary practice location

3 E 101St St Apt 5a
New York, NY 10029-6530

Mailing address

3 E 101St St Apt 5a
New York, NY 10029-6530
Phone (212) 241-4029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P62129NYMDInterventional Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1154583458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 101ST ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296530",
            "telephone_number": "212-241-4029",
            "fax_number": "212-876-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 101ST ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296530",
            "telephone_number": "212-241-4029",
            "fax_number": "212-876-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNASEKARA",
        "first_name": "ATHULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "P62129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.