Pani Family Medicine LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PANI FAMILY MEDICINE LLC

Doing business as

Immediate Medical Care MD

Practice address

240D S Highland Ave
Ossining, NY 10562-6102

Phone

(914) 502-0881

Fax

(914) 502-0882

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sarail Graves

Title

Executive Office Manager

Phone

(732) 523-5102

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Immediate Medical Care MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Anupama Pani, M.D.

  • Family Medicine Physician
  • Ossining, NY
  • NPI 1396803359
  Medicare reassignment NPD
• Elizabeth Nelson

  • Family Nurse Practitioner
  • Ossining, NY
  • NPI 1679152359
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1548827876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105100352",
            "telephone_number": "914-502-0881",
            "fax_number": "914-502-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240D S HIGHLAND AVE",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105626102",
            "telephone_number": "914-502-0881",
            "fax_number": "914-502-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANI FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SARAIL",
        "authorized_official_title_or_position": "EXECUTIVE OFFICE MANAGER",
        "authorized_official_telephone_number": "732-523-5102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE BOARD OF MEDICINE",
            "identifier": "228991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Medical Care MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ossining Union Free School District
• Ossining Volunteer Ambulance Corps Inc
• Bella Pace, MD
• Kristina Pagan, PHLEBOTOMIST
• Bianca Palermo
• Anupama Pani, M.D.
• Cassandra Leigh Panzarino
• Youngmi Park, NURSE PRACTITIONER
• Latasha Parker
• Kathleen Walsh Parra, CCC-SLP

• Urgent Care Clinic/Center in Ossining, NY
• Providers in Ossining, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.