East Panacea, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST PANACEA, LLC

Practice address

3918 211TH St
2ND FL
Bayside, NY 11361-1958

Phone

(718) 428-2860

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Junxian Ma

Title

Owner

Phone

(718) 428-2860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629008578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 211TH ST",
            "address_2": "2ND FL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611958",
            "telephone_number": "718-428-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 211TH ST",
            "address_2": "2ND FL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611958",
            "telephone_number": "718-428-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PANACEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JUNXIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-428-2860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bayside, NY
• Providers in Bayside, NY by specialty
• Durable Medical Equipment & Medical Supplies 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.