Organization Active NPI

JCL Medical, P.C.

  • Internal Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1407372428
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
281921-1 Issued in NY
Legal business name
JCL MEDICAL, P.C.
Practice address
10119 Jamaica Ave
Richmond Hill, NY 11418-2008
Phone
(718) 709-4721
Fax
(718) 709-4733
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Dr. Jeannette Elizabeth Cano-Landivar, MDNPI 1538447438
Title
Medical Director
Phone
(718) 709-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 281921-1 NY Primary

Addresses

Primary practice location

10119 Jamaica Ave
Richmond Hill, NY 11418-2008

Mailing address

10119 Jamaica Ave
Richmond Hill, NY 11418-2008
Phone (718) 709-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171014000389 NY Part B Supplier - Clinic/Group Practice 5799050977 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond Hill, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1407372428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182008",
            "telephone_number": "718-709-4721",
            "fax_number": "718-709-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182008",
            "telephone_number": "718-709-4721",
            "fax_number": "718-709-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "CANO-LANDIVAR",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-709-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281921-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.