Organization Active NPI

Davinder Kumar Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1437539897
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253512 Issued in NY
Legal business name
DAVINDER KUMAR MEDICAL PC
Practice address
27005 76TH Ave
New Hyde Park, NY 11040-1402
Phone
(646) 944-5556
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Davinder Kumar, MDNPI 1730344979
Title
Owner
Phone
(646) 944-5556

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 253512 NY Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X 253512 NY

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040-1402

Mailing address

12 Lenmore Dr
Old Bethpage, NY 11804-1119
Phone (646) 944-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150909002580 NY Part B Supplier - Clinic/Group Practice 9436464377 Receives reassigned benefits from 1 practitioner
Practice locations: Plainview, NY; Whitestone, NY; New Hyde Park, NY; Mineola, NY; Great Neck, NY; Manhasset, NY; Far Rockaway, NY; Glen Oaks, NY

National Provider Directory

National Provider Directory

Locations

8338 Little Neck Pkwy
Glen Oaks, NY 11004
Phone (516) 255-1618

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1437539897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LENMORE DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041119",
            "telephone_number": "646-944-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "646-944-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINDER KUMAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "DAVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-944-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253512",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "253512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.