Benemed Physician, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

258195 Issued in NY

Legal business name

BENEMED PHYSICIAN, PC

Doing business as

Latina Medica, PC

Practice address

10119 39TH Ave
Suite # 101
Corona, NY 11368-4806

Phone

(347) 808-8325

Fax

(347) 808-8326

NPI assigned

Jan 3, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Moi Wong Lama, MD

Title

President

Phone

(347) 808-8325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Latina Medica, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Emilio Zambito, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Corona, NY
  • NPI 1497978456
  Medicare reassignment NPD

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1376813782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 39TH AVE",
            "address_2": "SUITE # 101",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684806",
            "telephone_number": "347-808-8325",
            "fax_number": "347-808-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 39TH AVE",
            "address_2": "SUITE # 101",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684806",
            "telephone_number": "347-808-8325",
            "fax_number": "347-808-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEMED PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "WONG LAMA",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MOI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-808-8325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "258195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latina Medica, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Waynette Bather, RN
• Nidia Mercedes Bazante
• Leonardo Bedoya, RN
• Bella Adult Day Care Inc
• Yanet A Bello
• Maria J Bernal
• Marie Antoinette Bernard, MD MPH
• Best Five Star Pharmacy LLC
• Roberto William Betancourth, LMSW
• Sandeep Bhagat, DMD

• Internal Medicine Physician in Corona, NY
• Providers in Corona, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.