NPIMap

Organization Active NPI

Jackson Heights Medical Center

  • Internal Medicine Physician
  • East Elmhurst, NY
National Provider Identifier
1194137109
Registry record updated May 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JACKSON HEIGHTS MEDICAL CENTER
Practice address
7535 31St Ave
Suite 200
East Elmhurst, NY 11370-1857
Phone
(718) 565-2949
NPI assigned
May 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2014

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

Authorized official

Name
Dr. Carl Nicoleau, M.D.
Title
Owner
Phone
(718) 565-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7535 31St Ave
Suite 200
East Elmhurst, NY 11370-1857

Mailing address

7535 31St Ave
Suite 200
East Elmhurst, NY 11370-1857
Phone (718) 565-2949

National Provider Directory

National Provider Directory
Tax ID family
Associated Sleep Specialist Diagnostics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400889600000",
    "number": "1194137109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 31ST AVE",
            "address_2": "SUITE 200",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701857",
            "telephone_number": "718-565-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 31ST AVE",
            "address_2": "SUITE 200",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701857",
            "telephone_number": "718-565-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-05-24",
        "status": "A",
        "authorized_official_last_name": "NICOLEAU",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-565-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2014; 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.