Ja Gohar Medical

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JA GOHAR MEDICAL

Practice address

10816 63Rd Rd
Forest Hills, NY 11375-1352

Phone

(212) 988-2111

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

John Mactal

Title

Administrator

Phone

(855) 505-8346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1104533918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352",
            "telephone_number": "212-988-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA GOHAR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MACTAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "855-505-8346"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan G. Izeman, PHD
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• Sarah Sigalit Jabbour, PSY.D.
• Kathryn Jablon
• Carla Jack, LMHC
• Camille Jackson
• Christopher Jackson, LMHC

• Obstetrics & Gynecology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.