Organization Active NPI

Women's Medical Care Services, P.C.

  • Corporate Health Clinic/Center
  • Melville, NY
National Provider Identifier
1255649950
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
165341 Issued in NY
Legal business name
WOMEN'S MEDICAL CARE SERVICES, P.C.
Practice address
2 Tamara CT
Melville, NY 11747-4146
Phone
(631) 643-5382
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Max Jean-Gilles, M.D.NPI 1770677353
Title
Sole Proprietor
Phone
(631) 643-5382

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 165341 NY
Corporate Health Clinic/Center 261QC1800X 165341 NY Primary

Addresses

Primary practice location

2 Tamara CT
Melville, NY 11747-4146

Mailing address

2 Tamara CT
Melville, NY 11747-4146
Phone (631) 643-5382

National Provider Directory

National Provider Directory

Locations

14843 Hillside Ave
Jamaica, NY 11435
Phone (646) 509-7410

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": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1255649950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TAMARA CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474146",
            "telephone_number": "631-643-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAMARA CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474146",
            "telephone_number": "631-643-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL CARE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "JEAN-GILLES",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "631-643-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "165341",
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NY",
            "license": "165341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.