Medinova Physicians PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

211607 Issued in NY

Legal business name

MEDINOVA PHYSICIANS PLLC

Practice address

814 E 156TH St
Bronx, NY 10455-1714

Phone

(718) 665-0223

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vijay K Alla

Title

MD

Phone

(718) 665-0223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Joe Willie Chamberlin, M.D.

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1912103227
  Medicare reassignment NPD
• Vijayakumar Alla, M.D

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1598748592
  Medicare reassignment
• Stella Aronova, P.A.

  • Physician Assistant
  • Flushing, NY
  • NPI 1386979656
  Medicare reassignment
• Leonid Iskhakov, P.A.

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1700031770
  Medicare reassignment
• Venkata Ramana Ravi, M.D.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1346289048
  Medicare reassignment

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1740425545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E. 156 STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E 156TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551714",
            "telephone_number": "718-665-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINOVA PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-665-0223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "211607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Medina
• Rebeca Medina
• Shaun Medina, MD
• Tamia Medina, LPN
• Yeny Medina
• Meditreat
• Mediva Medical Supplies LLC
• Shaina Medley, M.S.ED, MSW
• Sharon Christine Medlock, MS
• Saul S Mednick, DMD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, 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 Sep 14, 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.