Woodmere Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200548 Issued in NY

Legal business name

WOODMERE MEDICAL PC

Practice address

8600 Shore Front Pkwy
Rockaway Beach, NY 11693-1828

Phone

(718) 745-1901

Fax

(718) 745-5731

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Subodh Kumar Sinha, MDNPI 1548339138

Title

Owner

Phone

(718) 745-1901

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Subodh Kumar Sinha, MD

  • Internal Medicine Physician
  • Rockaway Beach, NY
  • NPI 1548339138
  Medicare reassignment NPD Authorized official
• Arun K Mangla, MD

  • Cardiovascular Disease Physician
  • Richmond Hill, NY
  • NPI 1134143035
  Medicare reassignment NPD

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1467721068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980439",
            "telephone_number": "718-745-1901",
            "fax_number": "718-745-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SHORE FRONT PKWY",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931828",
            "telephone_number": "718-745-1901",
            "fax_number": "718-745-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMERE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-745-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01696208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Wainwright Edwards, M.D.
• Lisa Marie Watson, PHD
• Barriella Wertheimer, CRPA
• Melanie Willis
• Emilia Wojcik
• Jodi Yaeger
• Eric Joel Yagual
• Kyi Win Yu, MD
• Daniel J Zeidman, MD

• Internal Medicine Physician in Rockaway Beach, NY
• Providers in Rockaway Beach, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.