Mubarek Kedir Jemal Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

UZ863532 Issued in OH

Practice address

2711 E Tower Dr
Cincinnati, OH 45238-6430

Phone

(513) 739-8278

NPI assigned

Jun 10, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1568204840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 EAST TOWER DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45238",
            "telephone_number": "513-739-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E TOWER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452386430",
            "telephone_number": "513-739-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMAL",
        "first_name": "MUBAREK",
        "middle_name": "KEDIR",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "UZ863532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Eric Jeffreys, DMD
• Nichele Denise Jeffries
• Jefinc
• Neha Jeirath, M.D.
• Mark Garrey Jellison, PHARMACIST
• Sarah Nicole Jemiolo, MD
• Philip Jason Jemison I
• Martha Joanne Jenike, A.T.,C.
• Ashley Nicole Jenk, APRN
• Jenkins Family Services, LLC

• Non-emergency Medical Transport (VAN) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.