Organization Active NPI

JPC Medical PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1619412988
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
157407-1 Issued in NY
Legal business name
JPC MEDICAL PC
Practice address
1552 Ralph Ave
Brooklyn, NY 11236-3129
Phone
(718) 629-2030
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Dr. Jean P Pernier, MD
Title
Medical Director
Phone
(718) 629-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 157407-1 NY Primary

Addresses

Primary practice location

1552 Ralph Ave
Brooklyn, NY 11236-3129

Mailing address

1612 Kings Hwy
Suite 143
Brooklyn, NY 11229-1210
Phone (718) 629-2030

Other names 1

  • JPC Medical PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1552 Ralph Ave
Brooklyn, NY 11236
Phone (646) 455-7447

1612 Kings Hwy
Ste 143
Brooklyn, NY 11229

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1619412988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 KINGS HWY",
            "address_2": "SUITE 143",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291210",
            "telephone_number": "718-629-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363129",
            "telephone_number": "718-629-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "PERNIER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-629-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "157407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JPC Medical PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.