Olga Josephine Jacques

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

299595 Issued in NY

Practice address

260 E 188TH St
Bronx, NY 10458-5302

Phone

(718) 960-9000

NPI assigned

May 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (1 of 5)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: olga.jacques.1@18107.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Union Community Health Center, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1437255155

  NY

  Medicare reassignment Care Compare group NPD
• Union Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1285860544
  Care Compare group
• Union Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1568847952
  Care Compare group
• Union Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1699901900
  Care Compare group
• Union Community Health Center, Inc

  • Pharmacy
  • Bronx, NY
  • NPI 1770339921
  Care Compare group
• Union Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1114153327
  Care Compare group
• Union Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1427371012
  Care Compare group
• Union Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1659754885
  Care Compare group

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Community Health Center Inc 49 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1508213992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 188TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 188TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585302",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "OLGA",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "299595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jacovacci
• Jacqueline F. Noboa D.P.M.
• Latchmi Jacqueline, LMSW
• Carline Jacques, LMHC
• Frederick David Jacques, MD
• Roger Fils Jacques, M.D.
• Stacey Jacques, SOCIAL WORKER
• Rilenne Jacquet
• Preeti Dineshrao Jadhav, M.D.
• Jadz Inc

• All providers in Bronx, NY
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.