Sumant J Pandya, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME33363 Issued in FL

Practice address

110 Longwood Ave
Rockledge, FL 32955-2828

Phone

(321) 636-2211

Fax

(321) 633-7085

NPI assigned

Feb 24, 2006

Last updated

Jun 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brevard Dermpath and Surgpath Lab Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockledge, FL
  • NPI 1942307178
  NPD (past) Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1538135116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061943",
            "telephone_number": "877-261-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552828",
            "telephone_number": "321-636-2211",
            "fax_number": "321-633-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SUMANT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME33363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069943800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Cottage Operator, LLC (Palm Cottages)
• Palm Tree Speech Therapy
• Kyla Renee Palmiter, RD LD/N
• Joelene Pamintuan
• Pandya & Nime MD PA (Pathology and Medical Laboratory Diagnostic Services)
• Kristine Panning, LMHC
• Richard Pantano, CRNA
• Brittany Paquette
• Judith Parker
• Staci L. Parker, M.A,

• Anatomic Pathology & Clinical Pathology Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.