Active NPI
Pancare Medical PC
- Family Medicine Physician
- Jamaica, NY
National Provider Identifier
1457548745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 243375
- Legal business name
- PANCARE MEDICAL PC
- Practice address
- 15915 Hillside Ave
Jamaica, NY 11432-3935 - Phone
- (718) 473-2005
- Fax
- (718) 523-2311
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Silas E Nwaishienyi, M.D
- Title
- Director
- Phone
- (516) 610-8704
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 243375 | NY | Primary |
Addresses
Primary practice location
15915 Hillside Ave
Jamaica, NY 11432-3935
Mailing address
15915 Hillside Ave
Jamaica, NY 11432-3935
Phone (718) 473-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243375 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15912 Hillside Ave
Jamaica, NY 11432
Phone (718) 523-2310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Westbury, NY
- NPI 1336269802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1457548745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15915 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323935",
"telephone_number": "718-473-2005",
"fax_number": "718-523-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15915 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323935",
"telephone_number": "718-473-2005",
"fax_number": "718-523-2311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANCARE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "NWAISHIENYI",
"authorized_official_first_name": "SILAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-610-8704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "243375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "243375",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.