Jayakumar Thotambilu, Physician, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

001219 Issued in NY

Legal business name

JAYAKUMAR THOTAMBILU, PHYSICIAN, P.C.

Practice address

522 S 4TH St
Suite 1300
Fulton, NY 13069-2946

Phone

(315) 592-4000

Fax

(315) 593-3222

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jayakumar Thotambilu, M.D.

Title

Owner/Physician

Phone

(315) 592-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabil S Kamel, MD

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1417932443
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1457629453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S 4TH ST",
            "address_2": "SUITE 1300",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692946",
            "telephone_number": "315-592-4001",
            "fax_number": "315-593-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S 4TH ST",
            "address_2": "SUITE 1300",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692946",
            "telephone_number": "315-592-4000",
            "fax_number": "315-593-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYAKUMAR THOTAMBILU, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "THOTAMBILU",
        "authorized_official_first_name": "JAYAKUMAR",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "315-592-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "001219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karilyn Ann Hotchkiss, LPN
• Heather Leigh House, LPN
• Hudson Family Dentistry PLLC
• Joseph Duane Hutchins, LMHC
• Susan Marie Jakaub, PHARMD
• Ashton Johnson, LPN
• Danielle Johnson
• Shelby Johnson, LPN
• Stephanie Frances Johnson
• Michelle Marie Jones, LPN

• Specialist in Fulton, NY
• Providers in Fulton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.