Active NPI
Caritas Family Health Services PC
- Family Medicine Physician
- Jamaica, NY
National Provider Identifier
1609079870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 171089
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bronx, NY
- NPI 1376562835
-
- Family Medicine Physician
- Middletown, NY
- NPI 1376570952
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
- Carewell Medical Associates PC
- Caring Hands Pediatrics, PC
- Caring Touch of Ny LLC
- Caritas Anesthesia Services, PC
- Caritas Emergency Medical Services, PC
- Caritas Health Care Inc
- Caritas Healthcare Planning Inc.
- Carlene&Randal Home and Comapnion Care LLC
- Ruth Carpio, M.A., CF-SLP, TSSLD
- Danielle M Carroll, MD
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.