Active NPI
Double J Squared
- Anesthesiology Physician
- Albuquerque, NM
National Provider Identifier
1598041568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 90-216
- Legal business name
- DOUBLE J SQUARED
- Practice address
- 11110 San Rafael Ave NE
Albuquerque, NM 87122-2400 - Phone
- (505) 323-8100
- NPI assigned
- Oct 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Jaros, M.D.
- Title
- Phy
- Phone
- (505) 323-8100
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 90-216 | NY | |
| Anesthesiology Physician | 207L00000X | 90-216 | NM | Primary |
| Internal Medicine Physician | 207R00000X | 90-216 | NM | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 90-216 | NM | |
| Occupational Medicine Physician | 2083X0100X | 90-216 | NM | |
| General Practice Physician | 208D00000X | 90-216 | NM | |
| Interventional Pain Medicine Physician | 208VP0014X | 90-216 | NM |
Addresses
Primary practice location
11110 San Rafael Ave NE
Albuquerque, NM 87122-2400
Mailing address
11110 San Rafael Ave NE
Albuquerque, NM 87122-2400
Phone (505) 323-8100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319241600000",
"number": "1598041568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 SAN RAFAEL AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222400",
"telephone_number": "505-323-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 SAN RAFAEL AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222400",
"telephone_number": "505-323-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUBLE J SQUARED",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-22",
"last_updated": "2011-10-22",
"status": "A",
"authorized_official_last_name": "JAROS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PHY",
"authorized_official_telephone_number": "505-323-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "90-216",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NM",
"license": "90-216",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NM",
"license": "90-216",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NM",
"license": "90-216",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NM",
"license": "90-216",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NM",
"license": "90-216",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NM",
"license": "90-216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.