Organization Active NPI

Timothy G Jayasundera MD PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1831646009
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
215825-1 Issued in NY
Legal business name
TIMOTHY G JAYASUNDERA MD PC
Practice address
5402 Flatlands Ave
Brooklyn, NY 11234-2436
Phone
(718) 763-6666
Fax
(718) 251-5636
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Jeanette Ruiz
Title
Office Manager
Phone
(718) 763-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 215825-1 NY Primary

Addresses

Primary practice location

5402 Flatlands Ave
Brooklyn, NY 11234-2436

Mailing address

PO Box 287125
New York, NY 10128-0019
Phone (917) 214-0084

National Provider Directory

National Provider Directory
Tax ID family
Timothy G Jayasundera MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1831646009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280019",
            "telephone_number": "917-214-0084",
            "fax_number": "917-536-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342436",
            "telephone_number": "718-763-6666",
            "fax_number": "718-251-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY G JAYASUNDERA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-763-6666"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.