Organization Active NPI

Double J Squared

  • Anesthesiology Physician
  • Albuquerque, NM
National Provider Identifier
1598041568
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
90-216 Issued in NM
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

Updated by the provider on Oct 22, 2011

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 90-216 NY
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 90-216 NM Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 90-216 NM
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 90-216 NM
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 90-216 NM
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 90-216 NM
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.