Organization Active NPI

Medical Care of Nyc PLLC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1831811496
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL CARE OF NYC PLLC
Practice address
10152 Lefferts Blvd
Jamaica, NY 11419-2006
Phone
(346) 998-0291
Fax
(877) 870-9357
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dr. Rachana Yalamanchili, MDNPI 1215319066
Title
Doctor
Phone
(718) 250-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10152 Lefferts Blvd
Jamaica, NY 11419-2006

Mailing address

10152 Lefferts Blvd
Jamaica, NY 11419-2006
Phone (718) 250-8000

Other identifiers 1

IdentifierTypeStateIssuer
1215319066OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124000884 NY Part B Supplier - Clinic/Group Practice 4587035829 Receives reassigned benefits from 1 practitioner
Practice locations: College Point, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Locations

10152 Lefferts Blvd
South Richmond Hl, NY 11419
Phone 6314753900160

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1831811496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 LEFFERTS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192006",
            "telephone_number": "718-250-8000",
            "fax_number": "877-870-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10152 LEFFERTS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192006",
            "telephone_number": "346-998-0291",
            "fax_number": "877-870-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF NYC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "RACHANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-250-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215319066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.