MEDICARE: TIMOTHY G JAYASUNDERA MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	215825-1	NY

General Provider Information

NPI Number	:	1831646009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY G JAYASUNDERA MD PC

Provider Business Mailing Address
First Line	:	PO BOX 287125
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-0019
Country	:	US
Telephone Number	:	917-214-0084
Fax Number	:	917-536-9945

Provider Business Practice Location Address
First Line	:	5402 FLATLANDS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2436
Country	:	US
Telephone Number	:	718-763-6666
Fax Number	:	718-251-5636

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JEANETTE RUIZ
Credential	:
Telephone Number	:	718-763-6666

Provider Enumeration Date	:	09/06/2016
Last Update Date	:	09/06/2016

Similar Medicare Providers

1225049638 — TIMOTHY JAYASUNDERA, M.D. P.C
Practice Location Address:

5402 FLATLANDS AVE
BROOKLYN, NY
11234-2436

Practice Phone: 718-763-6666
Practice Fax: 718-251-5636

1649698515 — DR. ALAN J. ROSEN, DPM, PC
Practice Location Address:

5402 FLATLANDS AVE
BROOKLYN, NY
11234-2436

Practice Phone: 718-444-3338
Practice Fax: 718-444-4420

1609713874 — SHAHNOZA TOHIROVA
Practice Location Address:

1490 FLATBUSH AVE
BROOKLYN, NY
11210-2436

Practice Phone: 718-421-8161
Practice Fax:

1124037932 — MR. PAUL KOSHENKOV MSW
Practice Location Address:

2436 WEST ST # 2F
BROOKLYN, NY
11223-5918

Practice Phone: 718-382-0045
Practice Fax:

1457362402 — TIN TIN OO M.D.
Practice Location Address:

2719 E 28TH ST APT 4J
BROOKLYN, NY
11235-2436

Practice Phone: 718-891-7057
Practice Fax:

1952452948 — RSA DRUG CORP
Practice Location Address:

1490 FLATBUSH AVE
BROOKLYN, NY
11210-2436

Practice Phone: 718-421-8161
Practice Fax: 718-421-8160

Directions to “TIMOTHY G JAYASUNDERA MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.