Timothy Jayasundera, M.D. P.C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

TIMOTHY JAYASUNDERA, M.D. P.C

Doing business as

Timothy Jayasundera, M.D., P.C.

Practice address

5402 Flatlands Ave
Brooklyn, NY 11234-2436

Phone

(718) 763-6666

Fax

(718) 251-5636

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Timothy G Jayasundera, M.D.NPI 1811908205

Title

Owner

Phone

(917) 214-0084

Specialties & licenses 1

Addresses

Other names 1

• TIMOTHY JAYASUNDERA, M.D., P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Timothy G Jayasundera MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timothy G Jayasundera MD PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1831646009
  NPD tax ID

Locations

Practitioners 1

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

• Timothy Jayasundera

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1811908205
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1225049638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 72ND ST",
            "address_2": "APT 24C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214032",
            "telephone_number": "917-214-0084",
            "fax_number": "917-536-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342436",
            "telephone_number": "718-763-6666",
            "fax_number": "718-251-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY JAYASUNDERA, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "JAYASUNDERA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-214-0084",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMOTHY JAYASUNDERA, M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Timoshenko
• Louis R Timothee, M.D.
• Margalie Timothee
• Marie Charlene Timothee, LCSW
• Timothy G Jayasundera MD PC
• Michele Timothy, RN
• Amanda Timpanaro
• Yumna Timsaal, MD
• Tin Mar Tun Physician PC (Tun Pediatric Center)
• Kevin Tin, M.D.

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.