PJCK, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PJCK, LLC

Practice address

14023 248TH St
Rosedale, NY 11422-2135

Phone

(347) 499-4521

Fax

(718) 723-8999

NPI assigned

Jul 19, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Princess Niomie Morris, RN

Title

Registered Nurse

Phone

(347) 499-4521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093003436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14023 248TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222135",
            "telephone_number": "347-499-4521",
            "fax_number": "718-723-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 248TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222135",
            "telephone_number": "347-499-4521",
            "fax_number": "718-723-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "NIOMIE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "347-499-4521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.