JWM Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

230325 Issued in NY

Legal business name

JWM MEDICAL PC

Practice address

2390 McDonald Ave
Brooklyn, NY 11223-4740

Phone

(718) 449-1005

Fax

(718) 449-1131

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By 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

John M Wat, DO

Title

President

Phone

(718) 449-1005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1104169572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "WAT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-449-1005",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.