Organization Active NPI

N&I Janas Medical, P.C.

  • Family Medicine Physician
  • Bayside, NY
National Provider Identifier
1992973515
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226527 Issued in NY
Legal business name
N&I JANAS MEDICAL, P.C.
Practice address
3501 202ND St
Bayside, NY 11361-1117
Phone
(516) 643-2513
Fax
(718) 679-9150
NPI assigned
Feb 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Dr. Nodar Janas, M.D.NPI 1770678021
Title
Owner
Phone
(516) 643-2513

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 226527 NY Primary

Addresses

Primary practice location

3501 202ND St
Bayside, NY 11361-1117

Mailing address

3501 202ND St
Bayside, NY 11361-1117
Phone (516) 643-2513

Other identifiers 1

IdentifierTypeStateIssuer
226527OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000180 NY Part B Supplier - Clinic/Group Practice 7315961356 Receives reassigned benefits from 3 practitioners
Practice locations: Bayside, NY; Great Neck, NY

National Provider Directory

National Provider Directory

Locations

65 Middle Neck Rd
Great Neck, NY 11021
Phone (516) 643-2513

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1992973515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "516-643-2513",
            "fax_number": "718-679-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611117",
            "telephone_number": "516-643-2513",
            "fax_number": "718-679-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N&I JANAS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "JANAS",
        "authorized_official_first_name": "NODAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-643-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "226527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.