Datamarshall

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

026852 Issued in NU

Legal business name

DATAMARSHALL

Practice address

20414 Hillside Ave
Hollis, NY 11423-2217

Phone

(718) 413-4023

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By 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

Mr. Madhu Samala

Title

Medical Biller

Phone

(718) 413-4023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1386044766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20414 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232217",
            "telephone_number": "718-413-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATAMARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "718-413-4023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": "026852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordell Cunningham
• Dalton Open MRI, P.C.
• Dalton Radiology, P.C.
• Danit Damty
• Bishen Daneshwar, LPN
• Solomon A David, M.D.
• Levius Ian Davis
• Michael Defalco, PSY.D
• Ayam Tirona Deleon, PT
• Patrick Ronald Delpeche

• General Acute Care Hospital in Hollis, NY
• Providers in Hollis, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.