Life Body Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFE BODY MEDICINE, PLLC

Practice address

6 Tuxedo Ave
New Hyde Park, NY 11040-3519

Phone

(347) 249-0768

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Unnikrishnan Narayanan Thampy, MDNPI 1093940843

Title

Owner

Phone

(516) 395-1835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Unnikrishnan Narayanan Thampy, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1093940843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1700448552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TUXEDO AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403519",
            "telephone_number": "347-249-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TUXEDO AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403519",
            "telephone_number": "347-249-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BODY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "THAMPY",
        "authorized_official_first_name": "UNNIKRISHNAN",
        "authorized_official_middle_name": "NARAYANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-395-1835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 Apr 11, 2022; 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.