Jelksmedical, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JELKSMEDICAL, PLLC

Practice address

875 Park Ave # 1D
New York, NY 10021-0341

Phone

(212) 988-3621

Fax

(212) 988-7984

NPI assigned

Jan 28, 2007

Organization subpart

No

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

Authorized official

Name

Deborah Smiggen

Title

Finance

Phone

(212) 988-3303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1285780403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PARK AVE # 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210341",
            "telephone_number": "212-988-3621",
            "fax_number": "212-988-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PARK AVE # 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210341",
            "telephone_number": "212-988-3621",
            "fax_number": "212-988-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELKSMEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "SMIGGEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "212-988-3303"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Jelen, RN, ANP
• Sanja Jelic, M.D.
• Sophia Jelke, DDS, MD
• Elizabeth Brady Jelks, M.D.
• Glenn W. Jelks, M.D.
• Roberta Jellinekmansson, PH.D.
• Alissa Lee Appel Jelveh, LCSW
• Neyra Mohammed Jemal
• Oyindamola Jemilawon, LMSW
• Ursula Jemiolo, P.A.

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.