NPIMap

Organization Active NPI

JDS Medical Services PC

  • Emergency Medicine Physician
  • Englewood, NJ
National Provider Identifier
1174224653
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
JDS MEDICAL SERVICES PC
Practice address
461 Cumberland St
Englewood, NJ 07631-4705
Phone
(718) 534-0689
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Josef SchenkerNPI 1225004708
Title
Owner
Phone
(718) 534-0689

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
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

461 Cumberland St
Englewood, NJ 07631-4705

Mailing address

250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Phone (718) 534-0689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241204002860 MO Part B Supplier - Clinic/Group Practice 2062948748 Receives reassigned benefits from 11 practitioners
Practice locations: Florissant, MO
O20260114002266 NY Part B Supplier - Clinic/Group Practice 2062948748 Receives reassigned benefits from 113 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

31 Spencer St
Fl 15
Brooklyn, NY 11205

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1174224653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218",
            "telephone_number": "718-534-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 CUMBERLAND ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314705",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHENKER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-534-0689"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.