Park Slope Medical Office PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

168069 Issued in NY

Legal business name

PARK SLOPE MEDICAL OFFICE PC

Practice address

3443 83Rd St
Jackson Heights, NY 11372-3054

Phone

(718) 832-1964

Fax

(718) 832-0526

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anjan Rau, M.D

Title

Owner

Phone

(718) 832-1964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mahendra R. Sheth, MD

  • Emergency Medicine Physician
  • Live Oak, FL
  • NPI 1538186978
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1871545566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 3RD AVE",
            "address_2": "STE 504",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096802",
            "telephone_number": "718-832-1964",
            "fax_number": "718-832-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 83RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723054",
            "telephone_number": "718-832-1964",
            "fax_number": "718-832-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "ANJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-832-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "168069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01816875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilia Ramirez Panday, MD
• Wendy Panjon
• Eliana Panora
• Tanapong Pantasri, PHARM.D
• Parents in Action for Leadership and Human Rights
• Parkway Medical Services, P.C.
• Adriana Passini, LCSW
• Anjali Patel, FNP
• Darshi Patel
• Dhruvi Patel

• Specialist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.