Junction Blvd Pediatrics

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

104917 Issued in NY

Legal business name

JUNCTION BLVD PEDIATRICS

Practice address

4036 Junction Blvd
Corona, NY 11368-2122

Phone

(718) 899-4302

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By 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

Maria Martorell Fox

Title

Director Officer

Phone

(718) 899-4302

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174683338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682122",
            "telephone_number": "718-899-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682122",
            "telephone_number": "718-899-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION BLVD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MARTORELL",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "718-899-4302"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "104917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Jones Jr, D.D.S., M.S.
• George Miller Jones
• JS Health Inc (Northern Blvd Pharmacy)
• Armando Juca
• Julie Pharmacy Inc
• Junction Chemists, Inc. (Junction Chemists)
• Junction Dental
• Yessenia Catherine Jurado, CD-N
• Fatoumata Kaba, RN
• Jennifer Kanin

• Legal Medicine in Corona, NY
• Providers in Corona, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.