SANJAY KIRTANE PHYSICIAN PC NPI 1770897753

NPI Information

NPI: 1770897753
Provider Name: SANJAY KIRTANE PHYSICIAN PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11412 BEACH CHANNEL DR
SUITE 7
ROCKAWAY PARK, NY
ZIP 11694
Phone: (718) 318-1029
Get Directions

SANJAY KIRTANE PHYSICIAN PC is a cardiovascular disease internal medicine in Rockaway Park, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SANJAY KIRTANE PHYSICIAN PC NPI is 1770897753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11412 BEACH CHANNEL DR
SUITE 7
ROCKAWAY PARK, NY
ZIP 11694-212
Phone: (718) 318-1029
Fax: (718) 318-4802

The provider's authorized official is Sanjay Shreedhar Kirtane .
The authorized official title is President and has the following contact phone number (718) 318-1029.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 8/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	137045	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G300012953	MEDICARE PIN	NEW YORK
2	00704889	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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