Organization Active NPI

Yashodhara Kirtane M.D.PLLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Rockaway Park, NY
National Provider Identifier
1417902248
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
YASHODHARA KIRTANE M.D.PLLC
Practice address
114-12 Beach Channel Dr
Suite #7
Rockaway Park, NY 11559-1514
Phone
(718) 318-6021
Fax
(718) 318-4802
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Yashodhara KirtaneNPI 1275588022
Title
Owner
Phone
(718) 318-6021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

114-12 Beach Channel Dr
Suite #7
Rockaway Park, NY 11559-1514

Mailing address

114-12 Beach Channel Dr
Suite #7
Rockaway Park, NY 11559-1514
Phone (718) 318-6021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1417902248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114-12 BEACH CHANNEL DR",
            "address_2": "SUITE #7",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "115591514",
            "telephone_number": "718-318-6021",
            "fax_number": "718-318-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114-12 BEACH CHANNEL DR",
            "address_2": "SUITE #7",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "115591514",
            "telephone_number": "718-318-6021",
            "fax_number": "718-318-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASHODHARA KIRTANE M.D.PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "KIRTANE",
        "authorized_official_first_name": "YASHODHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-318-6021"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.