Organization Active NPI

Main Street Medical Services, PLLC

  • Anesthesiology Physician
  • Flushing, NY
National Provider Identifier
1346650108
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
152595 Issued in NY
Legal business name
MAIN STREET MEDICAL SERVICES, PLLC
Practice address
5516 Main St Ste 1B
Flushing, NY 11355-5098
Phone
(718) 461-6161
Fax
(718) 461-3590
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Usha Krishnamurthy, MD
Title
MD
Phone
(718) 461-6161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 152595 NY Primary
Anesthesiology Physician 207L00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X NY

Addresses

Primary practice location

5516 Main St Ste 1B
Flushing, NY 11355-5098

Mailing address

5516 Main St Ste 1B
Flushing, NY 11355-5098
Phone (718) 461-6161

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1346650108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 MAIN ST STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555098",
            "telephone_number": "718-461-6161",
            "fax_number": "718-461-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 MAIN ST STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555098",
            "telephone_number": "718-461-6161",
            "fax_number": "718-461-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "KRISHNAMURTHY",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-461-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "152595",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.