Sina Medical Associates Limited Liability Company

Primary specialty

Immunopathology PhysicianTaxonomy code 207ZI0100X

Legal business name

SINA MEDICAL ASSOCIATES LIMITED LIABILITY COMPANY

Practice address

1735 N Ocean Ave Ste B
Medford, NY 11763-2671

Phone

(631) 627-6133

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Abul Kashem

Title

MD

Phone

(917) 306-8073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1366039638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 148TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541433",
            "telephone_number": "646-760-4340",
            "fax_number": "646-837-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N OCEAN AVE STE B",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632671",
            "telephone_number": "631-627-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA MEDICAL ASSOCIATES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-03-22",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "KASHEM",
        "authorized_official_first_name": "ABUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-306-8073"
    },
    "taxonomies": [
        {
            "code": "207ZI0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Immunopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Immunopathology Physician in Medford, NY
• Providers in Medford, NY by specialty
• Immunopathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.

Verify at the official NPI Registry.