JMG Medical Group, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JMG MEDICAL GROUP, P.A.

Practice address

1047 Dahlia Rd
Livingston Manor, NY 12758-8812

Phone

(410) 371-8037

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Yury Yakubchyk, MD

Title

President

Phone

(410) 371-8037

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1134995368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 DAHLIA RD",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127588812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 DAHLIA RD",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127588812",
            "telephone_number": "410-371-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "YAKUBCHYK",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-371-8037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Howard Hoechster, D.M.D.
• Jacqueline Lee Jara-Cole, R.N.
• JMG Medical Group Ca, P.C.
• JMG Medical Group NJ, P.a.
• JMG Medical Group TX, P.a.
• Mohammad Shehzad Khan, R.PH
• Sam Kovalyov
• Livingston Manor Central School District
• Latoya Shanna Lockhart, MS, BCBA, LBA
• Raymond Joseph Negron

• Pediatrics Physician in Livingston Manor, NY
• Providers in Livingston Manor, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.