Jump Start LLC Maternal Infant Health Program

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

302F00000X Issued in MI

Legal business name

JUMP START LLC MATERNAL INFANT HEALTH PROGRAM

Practice address

1086 Williamson Cir
Pontiac, MI 48340

Phone

(313) 587-2963

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Elizabeth Lee

Title

Maternal Infant Health Provider

Phone

(313) 587-2963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1376908921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 WILLIAMSON CIR",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483403314",
            "telephone_number": "313-587-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 WILLIAMSON CIR",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48340",
            "telephone_number": "313-587-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START LLC MATERNAL INFANT HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MATERNAL INFANT HEALTH PROVIDER",
        "authorized_official_telephone_number": "313-587-2963",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "302F00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albin Joseph, DO
• Shruti Madhav Joshi
• Ali M Jouni, MD
• Alexandra Joyner, LMT
• Juaned Haq MD PLLC
• Angela S Jurgensen
• Nicola Lynn Juzysta, PHARM.D.
• Sabrina Jweda
• Pamela Ann Kaatz, MSW, LMSW
• Pawel Szymon Kaczmarczyk, M.D.

• Exclusive Provider Organization in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.