307 Long Island Medical P.C

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

307 LONG ISLAND MEDICAL P.C

Practice address

86-75 Midland Parkway
Jamaica, NY 11423

Phone

(516) 487-5858

Fax

(516) 487-3133

NPI assigned

Feb 5, 2010

Organization subpart

No

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

Authorized official

Name

Venkata P Maganti, M.D

Title

Director

Phone

(516) 487-5858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maria Flaviana Lee, M.D.

  • Anesthesiology Physician
  • Roslyn, NY
  • NPI 1992794499
  NPD

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1942532676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 EAST SHORE ROAD, 2ND FLOOR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-75 MIDLAND PARKWAY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "516-487-5858",
            "fax_number": "516-487-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "307 LONG ISLAND MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "MAGANTI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-487-5858",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.