Pure Medical Services PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PURE MEDICAL SERVICES PC

Practice address

2000 N Village Ave Ste 202
Rockville Centre, NY 11570

Phone

(347) 804-7277

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Miss Renu Gill, IC

Title

Ic

Phone

(718) 640-3960

Specialties & licenses 1

Addresses

Other names 1

• Pure Medical Services PC Other name

Locations

Practitioners 2

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

• Charles Master, M.D.

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1528052123
  NPD (past)
• Roy M Shanon, M.D.

  • Neurology Physician
  • Melville, NY
  • NPI 1285723791
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1356831309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 S 3RD ST",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "347-804-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RENU",
        "authorized_official_title_or_position": "IC",
        "authorized_official_telephone_number": "718-640-3960",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "IC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Medical Services PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.