COLUMBUS CIRCLE MEDICAL SERVICES PC


Address: 17121 Jamaica Ave, Jamaica, NY 11432-5427
Phone: 7185214442

COLUMBUS CIRCLE MEDICAL SERVICES PC (NPI# 1952830937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952830937
Entity Type Organization
Organization Name COLUMBUS CIRCLE MEDICAL SERVICES PC
Practice Address 17121 Jamaica Ave
Jamaica
NY 11432-5427
Mailing Address 2114 Pacific Blvd
Atlantic Beach
NY 11509-1139
Practice Telephone 7185214442
Practice Fax Number 7183054568
Enumeration Date 2017-06-05
Last Update Date 2020-01-29
Authorized Official Name PRABASH KONERU (CEO)
Authorized Official Telephone 3472768866
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 250331 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
721 Flushing Ave, Brooklyn, NY 11206 3476717575

Office Location

Street Address 17121 JAMAICA AVE
City JAMAICA
State NY
Zip Code 11432-5427

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396361259 Banani Road 11 LLC Pharmacy 181-04 Hillside Ave, Jamaica, NY 11432 2020-06-17
1023633450 Staphanie Anang Licensed Practical Nurse 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 2020-06-11
1205459476 Jasmine Kaur Sandhu Student in an Organized Health Care Education/Training Program 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 2020-05-22
1225650385 Alli El-ijla Student in an Organized Health Care Education/Training Program Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 2020-05-12
1346869955 Liane Zwetzich Student in an Organized Health Care Education/Training Program Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 2020-04-14
1528697141 Bahtiyar Toz Student in an Organized Health Care Education/Training Program 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 2020-04-06
1366089468 Alisha Jnobaptiste Counselor 87-59 171 St., Jamaica, NY 11432 2019-12-08
1356995054 Shawnette Natasha Brown Counselor 178-02/04 Jamaica Ave, Jamaica, NY 11432 2019-07-31
1518527142 Magdalene Vidal Case Manager/Care Coordinator 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 2019-06-17
1811550338 Rong Fan Student in an Organized Health Care Education/Training Program 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 2019-04-19
Find all providers in zip 11432

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598380859 Gabisa Medical Pllc Internal Medicine Jfk Terminal 4, Terminal 4 Arrivals West, Jamaica, NY 11430 2020-06-12
1194355586 United Medical Practice, P.C. Internal Medicine 17933 90th Ave, Jamaica, NY 11432-4763 2020-01-24
1942761135 Gobinda Paul Physician PC Internal Medicine 8738 168th Pl, Jamaica, NY 11432-3630 2019-03-29
1639696313 Highland Medical Care Pllc Internal Medicine 87-30 167th St, Jamaica, NY 11432-3636 2017-08-24
1699218768 Life Health Care Medical, PC Internal Medicine 9004 Merrick Blvd, Jamaica, NY 11432-5245 2016-11-22
1962857151 Huascar Perez Torres Internal Medicine 9508 Allendale St, Jamaica, NY 11435-4430 2016-04-26
1710343652 Ms Alam Medical Care P.C. Internal Medicine 170-07 Hillside Avenue, First Floor, Jamaica, NY 11432 2016-01-07
1801286679 Baxter Medical Care PC Internal Medicine 13130a Merrick Blvd, Jamaica, NY 11434-4134 2015-01-30
1700276680 Diana Alavi Internal Medicine 8900 Van Wyck Expy # 11418, Jamaica Hospital Medical Center, Jamaica, NY 11418-2832 2015-01-29
1912304585 Ravi Kumar Metai Internal Medicine 8268 164th Street, Jamaica, NY 11432 2014-11-26
Find all providers in JAMAICA

Competitor

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City JAMAICA
Zip Code 11432

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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