Active NPI
Afaq Medical Services LLC
- Specialist
- Jeffersonville, IN
National Provider Identifier
1639340953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01057489A
- Legal business name
- AFAQ MEDICAL SERVICES LLC
- Practice address
- 2700 Vissing Park Rd
Jeffersonville, IN 47130-5989 - Phone
- (502) 265-0491
- Fax
- (502) 222-8745
- NPI assigned
- Mar 14, 2008
- Last updated
- Aug 14, 2012
- 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
- Mrs. Jacqueline J. Singer
- Title
- Office Manager
- Phone
- (502) 817-0927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01057489A | IN | Primary |
Addresses
Primary practice location
2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Mailing address
PO Box 265
Jeffersonville, IN 47131-0265
Phone (502) 265-0491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1639340953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471310265",
"telephone_number": "502-265-0491",
"fax_number": "502-222-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 VISSING PARK RD",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471305989",
"telephone_number": "502-265-0491",
"fax_number": "502-222-8745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFAQ MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "502-817-0927",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01057489A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
- Yetunde Adeyinka-de'Leon, MSSW
- Advanced Regional Surgery Center, LLC
- Aegis Group Practice LLC
- Anthony Aemmer II, APRN
- Aerete Integrative Medicine LLC
- Irfan A Afaq, M.D.
- Affordable Dentures & Implants - Jeffersonville II, P.C.
- Affordable Dentures & Implants - Jeffersonville, P.C.
- Afton Home Care, Inc.
- Afton Pharmacy Store
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.