Manuel A Ceja, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174494 Issued in NY

Practice address

Building 75 Ste 247249
JFK International Airport
Jamaica, NY 11430-1802

Phone

(718) 656-9500

Fax

(718) 656-9503

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CMC Occupational Health Services, PC

  dba Kennedy Medical Offices

  • Specialist
  • Jamaica, NY
  • NPI 1649473471
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1063473742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 194TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651222",
            "telephone_number": "718-428-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 75 STE 247249",
            "address_2": "JFK INTERNATIONAL AIRPORT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114301802",
            "telephone_number": "718-656-9500",
            "fax_number": "718-656-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEJA",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174494",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NY",
            "license": "174494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Romero Cawley
• Tamara Cazi
• Cda Medical, PLLC (Passport Health)
• Cdpap Plus Inc
• Jessica Ann Cebula, DO
• Nirva Celestin
• Elizabeth Rose Center
• Centercare Social Adult Day Care LLC
• Carl Ceres
• Jose Cervantes, MD

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.