Jay Bee G Bondoc

Primary specialty

SpecialistTaxonomy code 174400000X

License

1590946222 Issued in NY

Practice address

12512 135TH Ave # 2F
South Ozone Park, NY 11420-3208

Phone

(347) 341-0772

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jabo and Jaelle Inc

  • Early Intervention Provider Agency
  • Elmhurst, NY
  • NPI 1689432213
  NPD Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1073856167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 135TH AVE # 2F",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203208",
            "telephone_number": "347-341-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 135TH AVE # 2F",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203208",
            "telephone_number": "347-341-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDOC",
        "first_name": "JAY BEE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1415737",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1590946222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bisnauth, OTR/L
• Latchman Bisram
• Paul Stephan Bliok, LMSW
• Cynthia Espina Bolante
• Christopher George Boller, LCSW
• Irene Bookhard - Dimoh
• Lea M Boriskin, LCSW
• Casey Boston
• Graciela Boyce, MSC.ED
• Seronica Renee Bradley, LPN

• Specialist in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.