Junction Medical Office, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

229968 Issued in NY

Legal business name

JUNCTION MEDICAL OFFICE, P.C.

Practice address

9211 35TH Ave
Suite 1E
Jackson Heights, NY 11372-5866

Phone

(718) 429-4555

Fax

(718) 429-4556

NPI assigned

Jan 15, 2009

Last updated

Sep 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fausto Abraham Gonzalez, M.DNPI 1124087713

Title

Physician

Phone

(718) 429-4555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fausto A Gonzalez, MD

  • Internal Medicine Physician
  • South Ozone Park, NY
  • NPI 1124087713
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1538306352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE",
            "address_2": "SUITE 1E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725866",
            "telephone_number": "718-429-4555",
            "fax_number": "718-429-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE",
            "address_2": "SUITE 1E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725866",
            "telephone_number": "718-429-4555",
            "fax_number": "718-429-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-429-4555",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03131142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose M Mendez MD PC (Universal Pediatrics)
• JS Optical Corp
• JSJ Medical Group 2
• Juan Carlos Defex, DDS PLLC
• Ginnie Juarez
• Junction Medical, PC
• Junction Pharmacy LLC
• K Drugs Inc (Super Pharmacy Unica)
• Laura Patricia Kabbabe, FNP
• Fariha Kabir

• Internal Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.