Pathak Internal Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

231995 Issued in NY

Legal business name

PATHAK INTERNAL MEDICINE PC

Practice address

3400 Brush Hollow Rd
Westbury, NY 11590-1712

Phone

(516) 857-6743

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Isha Pathak, M.D.

Title

Direct Owner

Phone

(516) 857-6743

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Myron A Forim, DO

  • Family Medicine Physician
  • Ozone Park, NY
  • NPI 1821152711
  NPD (past)
• Naveen Pathak, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1437114360
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1780870279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 DOGWOOD RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763005",
            "telephone_number": "516-801-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901712",
            "telephone_number": "516-857-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHAK INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "ISHA",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "516-857-6743",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "231995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Palmeri
• Amanda Paige Paneduro
• Kaitlyn Paolillo
• Brittni Parker
• Yugma Arvindbhai Patel, PHARMD
• Isha Pathak, M.D.
• Paul H. Penzer MDPC
• Sydney Pedersen
• Tiffany Ann Peguero
• Michael Edward Peller

• Specialist in Westbury, NY
• Providers in Westbury, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.