Kingsland Medical P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

211953 Issued in NY

Legal business name

KINGSLAND MEDICAL P.C.

Practice address

11 E 29TH St
21A
New York, NY 10016-7493

Phone

(917) 621-6854

Fax

(646) 304-1681

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Haroon Chaudhry, MD

Title

President

Phone

(917) 621-6854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1346667276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BURTON WAY",
            "address_2": "606",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483387",
            "telephone_number": "917-621-6854",
            "fax_number": "646-304-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 29TH ST",
            "address_2": "21A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167493",
            "telephone_number": "917-621-6854",
            "fax_number": "646-304-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLAND MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-621-6854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "211953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kings Third Ave. Pharmacy LLC
• Kings Tribeca Phamacy Inc
• Laneice S Kingsberry
• Kingsbridge RX Pharmacy Inc
• Dallas Jordan Kingsbury, M.D.
• George Kingsley, PH.D.
• Irma Kingsley, LCSW
• Kristine T. Kingsley, PSY.D.
• Lisa Kingsly
• Jacquline Kingston, M.D

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.