JM Medical Practice PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JM MEDICAL PRACTICE PC

Practice address

153 W 27TH St Ste 702
New York, NY 10001-6255

Phone

(908) 312-3755

NPI assigned

Oct 28, 2024

Organization subpart

Yes

Parent organization

SUMMER HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Leo Damasco

Title

Head of Medical Group

Phone

(240) 338-0567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1346062643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 11579",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "908-312-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 27TH ST STE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016255",
            "telephone_number": "908-312-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM MEDICAL PRACTICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMER HEALTH, INC.",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DAMASCO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "HEAD OF MEDICAL GROUP",
        "authorized_official_telephone_number": "240-338-0567"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.