St. Johns University

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

061417 Issued in NY

Legal business name

ST. JOHNS UNIVERSITY

Practice address

8000 Utopia Pkwy
Jamaica, NY 11439-9000

Phone

(718) 990-2000

Fax

(718) 990-2000

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Brocavich, PHAMD

Title

Dean

Phone

(718) 990-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1477901262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 UTOPIA PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114399000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 UTOPIA PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114399000",
            "telephone_number": "718-990-2000",
            "fax_number": "718-990-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "BROCAVICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "718-990-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHAMD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "061417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSS Family Medicine PC
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• Christina St Juste
• St. John'S University Center for Psychological Services
• St. John'S University Student Health Services
• Natacha St. Juste, NP
• St. Sebastian Medical PC
• St.Vincent Services Springfield
• Ricki Stabile, M.A., CCC-SLP, TSSLD
• Stable Hands Chiropractic PC

• Local Education Agency (LEA) in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.