Kew Gardens Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204213 Issued in NY

Legal business name

KEW GARDENS MEDICAL PC

Practice address

JFK Medport Building 14 West
Suite 14a
Jamaica, NY 11430

Phone

(718) 656-1245

Fax

(718) 656-3060

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Surya, MDNPI 1184647521

Title

Owner

Phone

(718) 656-1245

Specialties & licenses 1

Addresses

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.

• Gerald Surya, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184647521
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609880442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JFK MEDPORT BUILDING 14 WEST",
            "address_2": "SUITE 14A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-1245",
            "fax_number": "718-656-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JFK MEDPORT BUILDING 14 WEST",
            "address_2": "SUITE 14A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-1245",
            "fax_number": "718-656-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEW GARDENS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURYA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-656-1245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Kernisant
• Marie Carmelle Kernizan
• Soraya Veronique Kernizan, D.O.
• Olubukola Keshinro
• Kevin J. Grant D.D.S.,P.C.
• Kew Gardens Medical Services PC
• Syeda Keya
• Anya Khaimova
• Violeta Khaimova
• Angela Khaitova, PHARM D

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, 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 Aug 22, 2020; 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.