Purnima M. Kothari, Physician, PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

146056 Issued in NY

Legal business name

PURNIMA M. KOTHARI, PHYSICIAN, PC

Practice address

54 Heather LN
Levittown, NY 11756-3334

Phone

(516) 735-1116

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Purnima M KothariNPI 1952498750

Title

President

Phone

(516) 735-1116

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• Purnima M Kothari, MD

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
  • NPI 1952498750
  Medicare reassignment NPD Authorized official
• Baljinder Kaur Grewal, M.D.

  • Family Medicine Physician
  • Nesconset, NY
  • NPI 1619248135
  Medicare reassignment NPD
• Navdeep Kaur, NP

  • Family Nurse Practitioner
  • Levittown, NY
  • NPI 1043520075
  Medicare reassignment NPD
• Roshan Kothandaram, M.D

  • Internal Medicine Physician
  • Hempstead, NY
  • NPI 1346325958
  NPD (past)
• Steven Michael Schlamowitz, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1760584361
  NPD (past)
• Der-Cheng Tsung, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1124232517
  NPD (past)
• Josefina S. Velasquez, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1275740656
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1710193024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HEATHER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HEATHER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563334",
            "telephone_number": "516-735-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNIMA M. KOTHARI, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-735-1116",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "146056",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "204375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637605",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "02005269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Proflex Physical Therapy, PC
• Prohealth Care Associates LLP
• Lubna Qazi
• Zara Saleem Qazi, M.S., CF-SLP, TSSLD
• Jada Denise Quinlan, AU.D.
• Ummara Qureshi
• Alexa Raffo

• Pediatric Adolescent Medicine Physician in Levittown, NY
• Providers in Levittown, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.