NPIMap

Organization Active NPI

Sunil H. Butani Physician P.C.

  • Specialist
  • Mineola, NY
National Provider Identifier
1912169756
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
169195 Issued in NY
Legal business name
SUNIL H. BUTANI PHYSICIAN P.C.
Practice address
184 Old Country Rd
Mineola, NY 11501-4200
Phone
(516) 747-5042
Fax
(516) 294-5871
NPI assigned
Jul 1, 2008
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Sunil H Butani, MDNPI 1144238544
Title
Medical Physician
Phone
(516) 747-5042

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 169195 NY Primary

Addresses

Primary practice location

184 Old Country Rd
Mineola, NY 11501-4200

Mailing address

PO Box 202
Mineola, NY 11501-0202
Phone (516) 747-5042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091001000274 NY Part B Supplier - Clinic/Group Practice 1850437062 Receives reassigned benefits from 17 practitioners
Practice locations: South Richmond Hill, NY; Rockville Centre, NY; Mineola, NY; Hempstead, NY; Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

13102 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 444-7198

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1912169756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115010202",
            "telephone_number": "516-747-5042",
            "fax_number": "516-294-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014200",
            "telephone_number": "516-747-5042",
            "fax_number": "516-294-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL H. BUTANI PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BUTANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "516-747-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "169195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.