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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 250331 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
721 Flushing Ave, Brooklyn, NY 11206 | 3476717575 |
Street Address |
17121 JAMAICA AVE |
City | JAMAICA |
State | NY |
Zip Code | 11432-5427 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
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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.