Jamaica Estates Family Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

190283-1 Issued in NY

Legal business name

JAMAICA ESTATES FAMILY MEDICAL PC

Practice address

8505 167TH St
Jamaica, NY 11432-2621

Phone

(718) 658-7482

Fax

(718) 658-7531

NPI assigned

Oct 16, 2006

Last updated

Jan 30, 2013By 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

Dr. Edgar Z Vanegas, M.D.NPI 1316034820

Title

Medical Director

Phone

(718) 658-7482

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Edgar Z Vanegas, MD

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1316034820
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1194805929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 167TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322621",
            "telephone_number": "718-658-7482",
            "fax_number": "718-658-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 167TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322621",
            "telephone_number": "718-658-7482",
            "fax_number": "718-658-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA ESTATES FAMILY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "VANEGAS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-658-7482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190283-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02576630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamaica Eye Care Center LLC
• Jamaica Family Practice & Osteopathic Medicine PC
• Jamaica Get Well Corp (New Parsons Pharmacy)
• Jamaica Hospital (Jamaica Hospital Pharmacy)
• Jamaica Hospital

• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.