Medredefined LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDREDEFINED LLC

Practice address

345 Waterside Rd
Northport, NY 11768-1237

Phone

(631) 857-4439

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Manila Jindal, MDNPI 1497286140

Title

Owner

Phone

(832) 768-0726

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Manila Jindal, M.D.

  • Hospitalist Physician
  • Washington, DC
  • NPI 1497286140

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1235982000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAIN ST UNIT 225",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117685010",
            "telephone_number": "832-768-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WATERSIDE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681237",
            "telephone_number": "631-857-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDREDEFINED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "MANILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-768-0726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey McManus
• Elizabeth I McManus, AU.D.
• Alison Victoria McNally, RN
• Victoria J Mealey
• Natalia Irena Mecinska
• Jane E Meisse Shuford, NP
• Amanda M Meloro, PHARM. D.
• Melvin L. Kee, D.D.S.
• Jamsheed Rasheed Memon
• Vivian Mendelsohn, PH.D.

• Internal Medicine Physician in Northport, NY
• Providers in Northport, 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 May 3, 2024; 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.