NPIMap

Organization Active NPI

Juan C Jaramillo DDS PC

  • Dentist
  • New York, NY
National Provider Identifier
1245636331
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
057419-1 Issued in NY
Legal business name
JUAN C JARAMILLO DDS PC
Practice address
30 West 60TH Street
Suite 1GH
New York, NY 10023
Phone
(212) 246-3200
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. Johanna Lucia Palacio, DMDNPI 1932505963
Title
Dentist
Phone
(347) 204-3914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 057419-1 NY Primary

Addresses

Primary practice location

30 West 60TH Street
Suite 1GH
New York, NY 10023

Mailing address

8470 129TH St
Apt 2B
Kew Gardens, NY 11415-2810

Other names 1

  • Columbia circle dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Circle Dental2 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.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1245636331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 129TH ST",
            "address_2": "APT 2B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST 60TH STREET",
            "address_2": "SUITE 1GH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-246-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C JARAMILLO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-204-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "057419-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia circle dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.