Organization Active NPI

Ronald Jacques MD PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1023387941
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
155412 Issued in NY
Legal business name
RONALD JACQUES MD PC
Practice address
3009 Glenwood Rd
Brooklyn, NY 11210-2641
Phone
(718) 421-1003
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Ronald JacquesNPI 1518947811
Title
MD
Phone
(718) 421-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 155412 NY Primary

Addresses

Primary practice location

3009 Glenwood Rd
Brooklyn, NY 11210-2641

Mailing address

3009 Glenwood Rd
Brooklyn, NY 11210-2641

National Provider Directory

National Provider Directory

Locations

3009 Glenwood Rd
Brooklyn, NY 11210
Phone (718) 421-1003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1023387941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102641",
            "telephone_number": "718-421-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD JACQUES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-421-1003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "155412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.