Organization Active NPI

BMJC Medical

  • Geriatric Medicine (Internal Medicine) Physician
  • Roslyn Heights, NY
National Provider Identifier
1811689771
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Pamela Cornacchia, PANPI 1124565858
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.