Rso Medical Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

249523 Issued in NY

Legal business name

RSO MEDICAL ASSOCIATES PLLC

Practice address

25302 147TH Ave
Rosedale, NY 11422-2541

Phone

(718) 341-3535

Fax

(516) 706-2150

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mayank Shukla, M.D.

Title

President

Phone

(516) 395-2127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1184974123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25302 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222541",
            "telephone_number": "718-341-3535",
            "fax_number": "516-706-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25302 147TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222541",
            "telephone_number": "718-341-3535",
            "fax_number": "516-706-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSO MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-395-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Rosedale, NY
• Providers in Rosedale, 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 Sep 18, 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.