Organization Active NPI

Park Hill Health Services of New Jersey PC

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356047849
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARK HILL HEALTH SERVICES OF NEW JERSEY PC
Practice address
950 Tennessee St Unit 310
San Francisco, CA 94107-4101
Phone
(415) 851-3224
NPI assigned
Feb 6, 2023
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Marjorie Jacklyn Jacobe
Title
Administrator
Phone
(713) 444-4465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

950 Tennessee St Unit 310
San Francisco, CA 94107-4101

Mailing address

548 Market St # 50727
San Francisco, CA 94104-5401
Phone (415) 851-3224

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1356047849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST # 50727",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "415-851-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TENNESSEE ST UNIT 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074101",
            "telephone_number": "415-851-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HILL HEALTH SERVICES OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "JACOBE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "JACKLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-444-4465"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.