Rockaway Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241306 Issued in NY

Legal business name

ROCKAWAY INTERNAL MEDICINE PLLC

Practice address

14712 Rockaway Blvd
Jamaica, NY 11436-1634

Phone

(718) 832-8844

NPI assigned

Nov 29, 2010

Last updated

Mar 16, 2011By 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

Dr. Shiva ShamtoubNPI 1366586646

Title

President

Phone

(718) 732-7744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Shiva Shamtoub, DO

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1366586646
  Medicare reassignment Care Compare group NPD Authorized official
• Arash Shifteh, D.O

  • Hospitalist Physician
  • New Hyde Park, NY
  • NPI 1154622421

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1669774527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14712 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361634",
            "telephone_number": "718-832-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14712 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361634",
            "telephone_number": "718-832-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "SHAMTOUB",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-732-7744",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochdale Pharmacy LLC
• Rochdale Vision Center Inc. (Sterling Optical #415)
• Kirah Z Rochford, RN
• Rock Medical PC
• Rockaway Family Dentistry PLLC
• Getty Rocourt
• Seun Rodemade-Tanimowo, RN
• Selena T. Rodgers, PH.D., LCSW-R
• Karesa Rodney
• Rodrico Gordon NP in Adult Health PLLC

• 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 Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.