Organization Active NPI

Jourdenwell Aesthetics

  • Procedural Dermatology Physician
  • Flushing, NY
National Provider Identifier
1598590994
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
JOURDENWELL AESTHETICS
Practice address
13682 39TH Ave FL 1
Flushing, NY 11354-5524
Phone
(718) 866-0022
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. John Ho, DO
Title
Chief of Doctor
Phone
(718) 866-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

13682 39TH Ave FL 1
Flushing, NY 11354-5524

Mailing address

13682 39TH Ave FL 1
Flushing, NY 11354-5524
Phone (718) 866-0022

National Provider Directory

National Provider Directory

Locations

13682 39th Ave
Fl 1
Flushing, NY 11354
Phone (718) 866-0022

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1598590994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13682 39TH AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545524",
            "telephone_number": "718-866-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13682 39TH AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545524",
            "telephone_number": "718-866-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURDENWELL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF DOCTOR",
        "authorized_official_telephone_number": "718-866-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

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