Active NPI
BMJC Medical
- Geriatric Medicine (Internal Medicine) Physician
- Roslyn Heights, NY
National Provider Identifier
1811689771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- BMJC MEDICAL
- Practice address
- 2 Locust LN
Roslyn Heights, NY 11577-2625 - Phone
- (516) 457-0783
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Cornacchia, PA
- Title
- Administrator
- Phone
- (516) 457-0783
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
2 Locust LN
Roslyn Heights, NY 11577-2625
Mailing address
2 Locust LN
Roslyn Heights, NY 11577-2625
Phone (516) 457-0783
Other names 1
- BMJC Medical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Roslyn Heights, NY
- NPI 1124565858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1811689771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LOCUST LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772625",
"telephone_number": "516-457-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LOCUST LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772625",
"telephone_number": "516-457-0783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMJC MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-20",
"status": "A",
"authorized_official_last_name": "CORNACCHIA",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-457-0783",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BMJC Medical",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.