Organization Active NPI

Caritas Family Health Services PC

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1609079870
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
171089 Issued in NY
Legal business name
CARITAS FAMILY HEALTH SERVICES PC
Practice address
11449 Sutphin Blvd
Jamaica, NY 11434-1022
Phone
(718) 558-7160
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Montgomery Douglas, M.D,
Title
Chairman
Phone
(718) 558-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 171089 NY Primary

Addresses

Primary practice location

11449 Sutphin Blvd
Jamaica, NY 11434-1022

Mailing address

11449 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 558-7160

National Provider Directory

National Provider Directory

Locations

9525 Queens Blvd
#I37
Rego Park, NY 11374
Phone (718) 830-2845

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1609079870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11449 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341022",
            "telephone_number": "718-558-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11449 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341022",
            "telephone_number": "718-558-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS FAMILY HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MONTGOMERY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-558-7160",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "171089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.