Jodan Anthony Pathinathan MD PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JODAN ANTHONY PATHINATHAN MD PLLC

Practice address

1809 Gravesend Neck Rd
Brooklyn, NY 11229-4510

Phone

(954) 294-5500

NPI assigned

Nov 13, 2023

Organization subpart

No

Name

Dr. Jodan Anthony Pathinathan, MD

Title

Ceo

Phone

(954) 294-5500

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2023.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1407620271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 SHORE RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091057",
            "telephone_number": "954-294-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294510",
            "telephone_number": "954-294-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Neptune Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355317",
            "country_code": "US",
            "telephone_number": "954-294-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JODAN ANTHONY PATHINATHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "PATHINATHAN",
        "authorized_official_first_name": "JODAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-294-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deitt Joboam
• Vicky Jocelin, LMSW
• Daniel Jocelyn, NONE
• Susan Jocelyn, PHD
• Jocelyne
• Radjiny Jodhan
• Nidhi Vallabhbhai Jodhani, PT
• Jodi M Gentili
• Jodine Pharmaceutical Corp
• Asha K Joe, LMSW

• All providers in Brooklyn, NY
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.