NPIMap

Organization Active NPI

Jamaica Hospital Medical Center

  • Dental Clinic/Center
  • Jamaica, NY
National Provider Identifier
1225176175
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMAICA HOSPITAL MEDICAL CENTER
Practice address
13420 Jamaica Ave
Jamaica, NY 11418-2619
Phone
(718) 206-6980
Fax
(718) 206-8709
NPI assigned
Feb 2, 2007
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
JAMAICA HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mounir Doss
Title
Executive VP and Cfo
Phone
(718) 206-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

13420 Jamaica Ave
Jamaica, NY 11418-2619

Mailing address

11120 Merrick Blvd
Jamaica, NY 11433-4016
Phone (718) 206-9888

Other identifiers 1

IdentifierTypeStateIssuer
00243852MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Jamaica Hosp Radiology15 organizations share this tax ID, including this one
Part of
Jamaica Hosp Radiology

Other organizations with this tax ID 14

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

View all 14

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1225176175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114334016",
            "telephone_number": "718-206-9888",
            "fax_number": "718-206-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182619",
            "telephone_number": "718-206-6980",
            "fax_number": "718-206-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMAICA HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "EXECUTIVE VP AND CFO",
        "authorized_official_telephone_number": "718-206-6291"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.