J. a. Personal Medical Care Practice, PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

129319 Issued in NY

Legal business name

J. A. PERSONAL MEDICAL CARE PRACTICE, PLLC

Practice address

2165 71St St
Brooklyn, NY 11204-5526

Phone

(718) 621-7100

Fax

(718) 621-7103

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

John A. Ashkar, M.D.

Title

President

Phone

(718) 621-7100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1386880995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045526",
            "telephone_number": "718-621-7100",
            "fax_number": "718-621-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045526",
            "telephone_number": "718-621-7100",
            "fax_number": "718-621-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. A. PERSONAL MEDICAL CARE PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "ASHKAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-621-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "129319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Brooklyn, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.