Active NPI
Cross Island Medical LLC
- Internal Medicine Physician
- Howard Beach, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CROSS ISLAND MEDICAL LLC
- Practice address
- 13525 79TH St
Howard Beach, NY 11414-1010 - Phone
- (917) 903-3885
- NPI assigned
- May 10, 2019
- Last updated
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Himanshu Pandya, MD
- Title
- President
- Phone
- (917) 903-3885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
13525 79TH St
Howard Beach, NY 11414-1010
Mailing address
13525 79TH St
Howard Beach, NY 11414-1010
Phone (917) 903-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7322 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120
23315 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 210-1945
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Floral Park, NY
- NPI 1003896929
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1467883819
-
- Legal Medicine
- New Hyde Park, NY
- NPI 1043298052
-
- Family Nurse Practitioner
- Elmont, NY
- NPI 1477949022
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1548805179
-
- Medical Physician Assistant
- Oceanside, NY
- NPI 1194223834
-
- Medical Physician Assistant
- New York, NY
- NPI 1154629509
-
- Emergency Medicine Physician
- Greenport, NY
- NPI 1932132388
-
- Physician Assistant
- East Meadow, NY
- NPI 1275185902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1285290775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13525 79TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141010",
"telephone_number": "917-903-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13525 79TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141010",
"telephone_number": "917-903-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS ISLAND MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "PANDYA",
"authorized_official_first_name": "HIMANSHU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-903-3885",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.