Jericho Medical Practice PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JERICHO MEDICAL PRACTICE PLLC

Practice address

178 Sunrise Hwy # 184
Rockville Centre, NY 11570-4704

Phone

(877) 977-1705

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Abul KashemNPI 1598784753

Title

Owner

Phone

(717) 716-7107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Abul Kashem, MD

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1598784753
  Medicare reassignment Authorized official
• Peter S Maran, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1376622548
  Medicare reassignment NPD
• Krishna C. Gurram, MD

  • Gastroenterology Physician
  • Grand Forks, ND
  • NPI 1255360244

  NY

  Medicare reassignment NPD
• Dilip S Doctor, M.D

  • Specialist
  • Rego Park, NY
  • NPI 1134291420
  Medicare reassignment

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1982305579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 148TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541433",
            "telephone_number": "877-977-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SUNRISE HWY # 184",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704704",
            "telephone_number": "877-977-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "KASHEM",
        "authorized_official_first_name": "ABUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-716-7107"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Bernard Nurse Practitioner in Family Health PC
• Jeff D Kopelman, MD. F.a.C.S. PLLC
• Jeffrey a Kurta Medical Services PC
• Jeffrey L. Horowitz, DDS PC
• Joseph Jeret, MD
• Jermaine Lee Physical Therapy PLLC
• Jerome E. Bagner, DPM, P.C.
• Jerome R Caiati MD.,PC.
• Jessica R Cesare, Psychologist, PH.D., P.C.
• Jezliah Adult Social Daycare

• Urology Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.