Jaimala Thanik, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

121860 Issued in NY

Practice address

604 Elmwood Avenue
Box 604
Rochester, NY 14642-0001

Phone

(585) 275-2141

Fax

(585) 244-7271

NPI assigned

Apr 14, 2006

Sex

Female

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 3

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 and National Provider Directory roles.

• Jaimala Thanik MD PLLC

  • Pain Medicine Physician
  • Rochester, NY
  • NPI 1881658060
  NPD (past) Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1619931896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ELMWOOD AVENUE",
            "address_2": "BOX 604",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2141",
            "fax_number": "585-244-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 ELMWOOD AVENUE",
            "address_2": "BOX 604",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2141",
            "fax_number": "585-244-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANIK",
        "first_name": "JAIMALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "121860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102222AH",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00362987",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "010121860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohan Thakurathi, MD
• Megan Thalmayr, R.N.
• Adriana C Thaney, RPA-C
• Mary P Thaney, P.T.
• Diana Vinodhini Thangathurai, MBBS
• Krishan Thanik, MD
• Cheyenne Jo Thannikkotu-Lombardo, MD
• Chettra B Thapa, RPH
• Kriti Thapa, MD, MPH
• Pramila Thapa, M.B.B.S.

• Pain Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.