Organization Active NPI

Asjs Medical, PLLC

Doing business as NY Urgent Care

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1326229022
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ASJS MEDICAL, PLLC
Doing business as
NY Urgent Care
Practice address
1110 Pennsylvania Ave # SF.5
Brooklyn, NY 11207-9003
Phone
(718) 272-2272
Fax
(718) 272-2273
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Jason Shevetz, MDNPI 1144253691
Title
President
Phone
(646) 942-2842

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1110 Pennsylvania Ave # SF.5
Brooklyn, NY 11207-9003

Mailing address

1110 Pennsylvania Ave # SF-5
Brooklyn, NY 11207-9003
Phone (718) 272-2272

Other practice location 1

255 E 98th St
Brooklyn, NY 11212-8817
Phone (718) 240-2644

Other identifiers 2

IdentifierTypeStateIssuer
A100046342OtherMEDICARE PTAN
03307691MedicaidNY

Other names 1

  • NY Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jayshevy@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000695 NY Part B Supplier - Clinic/Group Practice 8921197492 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2061695Asjs Medical, PLLC1110 Pennsylvania Avenue, Suite SF-5, Brooklyn, NY 11207Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Locations

1110 Pennsylvania Ave
Ste 5
Brooklyn, NY 11207
Phone (718) 272-2272

255 E 98th St
Brooklyn, NY 11212
Phone (718) 240-2644

Practitioners & affiliated clinicians

Practitioners 5

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1326229022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE # SF-5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079003",
            "telephone_number": "718-272-2272",
            "fax_number": "718-272-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE # SF.5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079003",
            "telephone_number": "718-272-2272",
            "fax_number": "718-272-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E 98th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112128817",
            "country_code": "US",
            "telephone_number": "718-240-2644",
            "fax_number": "718-240-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASJS MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "SHEVETZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-942-2842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100046342",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03307691",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jayshevy@gmail.com",
            "affiliation": "N",
            "address_1": "1880 Prospect Pl",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112334715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NY Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.