Kishore Kanduri

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8610 151St Ave
Suite # LK
Howard Beach, NY 11414-1332

Phone

(917) 318-5303

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Allcare Health and Pain LLCGroup PAC ID 8123550001, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allcare Health & Pain LLC

  • Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1114750270

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment Care Compare group NPD
• A to Z Physical Therapy PC

  • Physical Therapist
  • Howard Beach, NY
  • NPI 1396780482
  Medicare reassignment Authorized official
• Victory Physical Therapy, P.C.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1659595254
  Medicare reassignment NPD
• Garden State Cardiovascular Specialists P.C

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1225059660
  Medicare reassignment NPD
• Bridgeview Physical Therapy, P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1730305087
  NPD (past)
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1740226281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TIVED LN E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 151ST AVE",
            "address_2": "SUITE # LK",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141332",
            "telephone_number": "917-318-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDURI",
        "first_name": "KISHORE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JMP Physical Therapy PC
• Margaret Johnson, RN
• Joseph a. Tarantino, DPM
• Marianna Jovanovich
• Justice Journey Wellness LLC
• Chyung-Fen Kao
• Julia Katchen, LMSW
• Brian Thomas Kelly, DC
• Jeanne Marie Kelly, MA, CCC-SLP
• Emily Kelman-Bravo, LCSW

• Physical Therapist in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.