NPIMap

Organization Active NPI

New York Ear Nose and Throat Specialist PC

  • Otolaryngology Physician
  • Jericho, NY
National Provider Identifier
1619275906
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
208436 Issued in NY
Legal business name
NEW YORK EAR NOSE AND THROAT SPECIALIST PC
Practice address
3 Kettlepond Rd
Jericho, NY 11753-1157
Phone
(516) 222-2524
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Rajesh S Kakani, M.D.
Title
President
Phone
(516) 222-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 208436 NY Primary

Addresses

Primary practice location

3 Kettlepond Rd
Jericho, NY 11753-1157

Mailing address

3 Kettlepond Rd
Jericho, NY 11753-1157
Phone (516) 222-2524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1619275906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KETTLEPOND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531157",
            "telephone_number": "516-222-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KETTLEPOND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531157",
            "telephone_number": "516-222-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK EAR NOSE AND THROAT SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "KAKANI",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-222-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "208436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.