Organization Active NPI

Junction Medical, PC

  • Adult Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1548476328
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
203635 Issued in NY
Legal business name
JUNCTION MEDICAL, PC
Practice address
9542 Roosevelt Ave
Jackson Heights, NY 11372-8012
Phone
(718) 334-6725
Fax
(718) 334-6719
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Jose A Fulgencio-Delmonte, M.D.
Title
Owner
Phone
(718) 334-6725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 203635 NY Primary

Addresses

Primary practice location

9542 Roosevelt Ave
Jackson Heights, NY 11372-8012

Mailing address

9542 Roosevelt Ave
Jackson Heights, NY 11372-8012
Phone (718) 334-6725

Other identifiers 1

IdentifierTypeStateIssuer
01664373MedicaidNY

National Provider Directory

National Provider Directory

Locations

9542 Roosevelt Ave
Jackson Hts, NY 11372
Phone (718) 334-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCBA

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1548476328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728012",
            "telephone_number": "718-334-6725",
            "fax_number": "718-334-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728012",
            "telephone_number": "718-334-6725",
            "fax_number": "718-334-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "FULGENCIO-DELMONTE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-334-6725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "203635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01664373",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.