Organization Active NPI

Sai Medical PC

  • Internal Medicine Physician
  • College Point, NY
National Provider Identifier
1982761961
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198979 Issued in NY
Legal business name
SAI MEDICAL PC
Practice address
12216 18TH Ave
College Point, NY 11356-2202
Phone
(718) 939-1991
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Suhasini Jonnavithula, M.D
Title
Owner
Phone
(718) 939-1991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 198979 NY Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 198979 NY

Addresses

Primary practice location

12216 18TH Ave
College Point, NY 11356-2202

Mailing address

12216 18TH Ave
College Point, NY 11356-2202
Phone (718) 939-1991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1982761961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12216 18TH AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562202",
            "telephone_number": "718-939-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 18TH AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562202",
            "telephone_number": "718-939-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "JONNAVITHULA",
        "authorized_official_first_name": "SUHASINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-939-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198979",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "198979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.