Active NPI
Anamika Kumari
- Internal Medicine Physician
- Erie, PA
National Provider Identifier
1750128278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LT001027
- Practice address
- Erie Retina Research LLC, a Pennsylnania Corporation
300 State Street, Suite 302
Erie, PA 16507 - Phone
- (319) 930-9046
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LT001027 | PA | Primary |
Addresses
Primary practice location
Erie Retina Research LLC, a Pennsylnania Corporation
300 State Street, Suite 302
Erie, PA 16507
Mailing address
15400 W Roosevelt St Apt 3115
Goodyear, AZ 85338-0014
Phone (480) 527-8554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT001027 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1750128278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15400 W ROOSEVELT ST APT 3115",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853380014",
"telephone_number": "480-527-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ERIE RETINA RESEARCH LLC, A PENNSYLNANIA CORPORATION",
"address_2": "300 STATE STREET, SUITE 302",
"city": "ERIE",
"state": "PA",
"postal_code": "16507",
"telephone_number": "319-930-9046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMARI",
"first_name": "ANAMIKA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "LT001027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.