NPIMap

Organization Active NPI

Jamaica DTC Dental

Doing business as Medisys Family Care Center-St Albans

  • Dental Clinic/Center
  • Saint Albans, NY
National Provider Identifier
1366580037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMAICA DTC DENTAL
Doing business as
Medisys Family Care Center-St Albans
Practice address
111-20 Merrick Blvd
St Albans, NY 11433
Phone
(718) 206-9888
Fax
(718) 206-3033
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia Anne Cronin, RDH
Title
Manager
Phone
(718) 206-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

111-20 Merrick Blvd
St Albans, NY 11433

Mailing address

111-20 Merrick Blvd
St Albans, NY 11433
Phone (718) 206-9888

Other identifiers 1

IdentifierTypeStateIssuer
01866706MedicaidNY

Other names 1

  • Medisys Family Care Center-St Albans Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamaica DTC Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366580037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-20 MERRICK BLVD",
            "city": "ST ALBANS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-206-9888",
            "fax_number": "718-206-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-20 MERRICK BLVD",
            "city": "ST ALBANS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-206-9888",
            "fax_number": "718-206-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA DTC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-206-9888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01866706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medisys Family Care Center-St Albans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.