Organization Active NPI

Jerneky Billing & Coding LLC

  • Community/Behavioral Health Agency
  • Opa Locka, FL
National Provider Identifier
1114522182
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JERNEKY BILLING & CODING LLC
Practice address
2415 NW 162ND St
Opa Locka, FL 33054-6541
Phone
(786) 812-2578
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
De Mia Longchamp, CCSNPI 1992300941
Title
Billing Specialist
Phone
(786) 812-2578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2415 NW 162ND St
Opa Locka, FL 33054-6541

Mailing address

2415 NW 162ND St
Opa Locka, FL 33054-6541
Phone (786) 812-2578

Other identifiers 1

IdentifierTypeStateIssuer
L525178789180MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL OPALOCKA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1114522182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NW 162ND ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546541",
            "telephone_number": "786-812-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NW 162ND ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546541",
            "telephone_number": "786-812-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERNEKY BILLING & CODING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "LONGCHAMP",
        "authorized_official_first_name": "DE MIA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "786-812-2578",
        "authorized_official_credential": "CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L525178789180",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OPALOCKA",
            "affiliation": "N",
            "address_1": "2415 NW 162nd St",
            "city": "Opa Locka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330546541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.