Latha Thaneer Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

219789 Issued in NY

Legal business name

LATHA THANEER MEDICAL PC

Practice address

14 Bellefair Rd
Rye Brook, NY 10573-5507

Phone

(914) 803-2554

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Latha Thanneer, M.D.

Title

Owner

Phone

(914) 803-2554

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1447509146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BELLEFAIR RD",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105735507",
            "telephone_number": "914-803-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BELLEFAIR RD",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105735507",
            "telephone_number": "914-803-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHA THANEER MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "THANNEER",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-803-2554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "219789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02791688",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "219789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin L. Kutscher, M.D.
• Hye Eun Kwon, M.D.
• Jesus Angel Lago, MD
• Thomas Landino, PHD
• Jessica Rich Lassman, PSY.D.
• Myung-Ho Lee, MD
• Rachel Levey, PSYD
• Margaret Moss Levy, LCSW
• Susan Levy, R.D.
• Trecia A. Lewis, LCSW, LICSW

• Specialist in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.