Department of Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

496215 Issued in NY

Legal business name

DEPARTMENT OF HEALTH

Practice address

3433 Junction Blvd
Jackson Heights, NY 11372-3828

Phone

(718) 476-7636

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Manda Dabovic, RN

Title

PHN

Phone

(718) 476-7636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1376899708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-476-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "DABOVIC",
        "authorized_official_first_name": "MANDA",
        "authorized_official_title_or_position": "PHN",
        "authorized_official_telephone_number": "718-476-7636",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "496215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra Delgado
• Maria Denaxas, LMSW
• Dennis Matthews MD PLLC
• Dental Services of Jackson Heights, N.Y., P.C
• Departement of Health and Mental Hygiene
• Department of Health and Mental Hygiene
• Department of Health Memtal Hygiene
• Patricio Destvet, LMHC
• Sara Mini Devadas, RPH
• Martha Cecilia Devia, L.M.S.W.

• State or Local Public Health Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• State or Local Public Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.