NPIMap

Organization Active NPI

Nodar Janas MD PC

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1366945339
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NODAR JANAS MD PC
Practice address
3501 202ND St
Bayside, NY 11361-1117
Phone
(516) 643-2513
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Dr. Nodar Janas, MDNPI 1770678021
Title
MD
Phone
(718) 454-4356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3501 202ND St
Bayside, NY 11361-1117

Mailing address

20 Westwood Cir
Roslyn Heights, NY 11577-1823
Phone (516) 643-2513

Other practice location 1

211 E 79th St
New York, NY 10075-0819
Phone (212) 879-1600

Other practice location 2

16501 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 739-2523

Other identifiers 1

IdentifierTypeStateIssuer
05516541MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502000978 NY Part B Supplier - Clinic/Group Practice 0648534412 Receives reassigned benefits from 20 practitioners
Practice locations: Bayside, NY; Jamaica, NY; New York, NY; Roslyn Heights, NY

National Provider Directory

National Provider Directory

Locations

14461 38th Ave
Flushing, NY 11354
Phone (212) 739-1799

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1366945339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTWOOD CIR",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771823",
            "telephone_number": "516-643-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "516-643-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 79th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750819",
            "country_code": "US",
            "telephone_number": "212-879-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16501 CHAPIN PKWY",
            "address_purpose": "LOCATION",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "718-739-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NODAR JANAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "JANAS",
        "authorized_official_first_name": "NODAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-454-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05516541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.