J & J Medical Care PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

216399 Issued in NY

Legal business name

J & J MEDICAL CARE PLLC

Practice address

14351 Roosevelt Ave
Suite 1B
Flushing, NY 11354-6106

Phone

(718) 359-5603

Fax

(718) 359-5610

NPI assigned

Oct 23, 2006

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Shixie Liu, MDNPI 1669558870

Title

President

Phone

(718) 359-5603

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Shixie Liu, MD

  • Psychiatry Physician
  • Flushing, NY
  • NPI 1669558870
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1639252380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 195TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661841",
            "telephone_number": "718-359-5603",
            "fax_number": "718-359-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 ROOSEVELT AVE",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546106",
            "telephone_number": "718-359-5603",
            "fax_number": "718-359-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SHIXIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-359-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "216399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02198658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Flushing, NY
• Providers in Flushing, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.