KV Medical of Ny PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

KV MEDICAL OF NY PC

Practice address

1065 Old Country Rd
Westbury, NY 11590-5640

Phone

(347) 878-2225

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Ketan D. Vora

Title

Owner

Phone

(347) 878-2225

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1427691286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21315 33RD RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905640",
            "telephone_number": "347-878-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KV MEDICAL OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-878-2225"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WESTBURY",
            "affiliation": "N",
            "address_1": "1065 Old Country Rd",
            "city": "Westbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115905640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vivek Kumar
• Madeline Marie Kunak
• David Zeeman Kunin, PHARM. D.
• Cyrus Kuria, NP
• Gabrielle Kayelyn Kurtz, M.S., OTR/L
• Tiara Keshelle Lagrasta
• Brittany Lahti
• Jeffrey Patigas Lajera
• Jeremy Lalak
• Elbaraa Lamada

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Westbury, NY
• Providers in Westbury, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.