Organization Active NPI

JSMK Urology PC

  • Urology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1215579297
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JSMK UROLOGY PC
Practice address
140 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-2559
Phone
(718) 888-7800
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Jenn Kim
Title
Office Manager
Phone
(718) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

140 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-2559

Mailing address

4161 Kissena Blvd Ste 1B
Flushing, NY 11355-3105
Phone (718) 888-7800

National Provider Directory

National Provider Directory
Tax ID family
John H Won MD Urology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1215579297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD STE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-888-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322559",
            "telephone_number": "718-888-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSMK UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-888-7800"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.