Sherry R. Kunjbehari, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012175 Issued in NY

Practice address

6517 Myrtle Ave
Glendale, NY 11385-6248

Phone

(718) 497-1150

Fax

(718) 417-0912

NPI assigned

Nov 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Exclusive Care Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1790849271
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1295915692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856248",
            "telephone_number": "718-497-1150",
            "fax_number": "718-417-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNJBEHARI",
        "first_name": "SHERRY",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Klatch, LMSW
• Maayan Klein, LCSW
• Knickerbocker Dialysis Inc
• Anna Kopacz, DPT
• KT Medical Healthcare PC
• Machiko Kurosawa, M.S.W.
• Yulia Kuznetsova, ASSOCIATED
• Jennifer Lack
• Grace Lee Lam, DDS
• Jennifer Landeta, CCC-SLP

• Physician Assistant in Glendale, NY
• Providers in Glendale, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.