NPIMap

Organization Active NPI

Sunita M. Makhijani Physician PLLC

  • Primary Care Clinic/Center
  • Centerport, NY
National Provider Identifier
1609080852
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
186497 Issued in NY
Legal business name
SUNITA M. MAKHIJANI PHYSICIAN PLLC
Practice address
12 Little Neck Rd
Suite 102
Centerport, NY 11721-1613
Phone
(631) 757-0333
Fax
(631) 757-1331
NPI assigned
May 9, 2007
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Sunita M Makhijani, M.D.NPI 1003984212
Title
Owner
Phone
(631) 757-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 186497 NY Primary

Addresses

Primary practice location

12 Little Neck Rd
Suite 102
Centerport, NY 11721-1613

Mailing address

434 E Main St Unit 603
Centerport, NY 11721-2225
Phone (631) 757-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR Direct

National Provider Directory

National Provider Directory

Locations

12 Little Neck Rd
Ste 102
Centerport, NY 11721
Phone (631) 757-0333

434 E Main St
Unit 603
Centerport, NY 11721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1609080852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E MAIN ST UNIT 603",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117212225",
            "telephone_number": "631-757-0333",
            "fax_number": "631-757-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LITTLE NECK RD",
            "address_2": "SUITE 102",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211613",
            "telephone_number": "631-757-0333",
            "fax_number": "631-757-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNITA M. MAKHIJANI PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-09-07",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "MAKHIJANI",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-757-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "186497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Data",
            "address_1": "12 Little Neck Rd",
            "address_2": "Suite 102",
            "city": "Centerport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117211613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.