Organization Active NPI

Kumar Physician Office PC

  • Family Medicine Physician
  • Bellerose, NY
National Provider Identifier
1447628342
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265895 Issued in NY
Legal business name
KUMAR PHYSICIAN OFFICE PC
Practice address
25012 Hillside Ave Ste B
Bellerose, NY 11426-2139
Phone
(718) 470-0126
Fax
(718) 470-0128
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Manish Kumar, M.D.NPI 1538414982
Title
President
Phone
(718) 470-0126

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 265895 NY Primary
Primary Care Clinic/Center 261QP2300X 265895 NY

Addresses

Primary practice location

25012 Hillside Ave Ste B
Bellerose, NY 11426-2139

Mailing address

13 Wilton St
New Hyde Park, NY 11040-3829
Phone (718) 470-0126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223000352 NY Part B Supplier - Clinic/Group Practice 6002117710 Receives reassigned benefits from 1 practitioner
Practice locations: Bellerose, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1447628342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WILTON ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403829",
            "telephone_number": "718-470-0126",
            "fax_number": "718-470-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 HILLSIDE AVE STE B",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262139",
            "telephone_number": "718-470-0126",
            "fax_number": "718-470-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR PHYSICIAN OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-470-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265895",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "265895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.