NPIMap

Organization Active NPI

Jamaica Hospital

  • Psychiatric Hospital Unit
  • Jamaica, NY
National Provider Identifier
1669505301
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
JAMAICA HOSPITAL
Practice address
8900 Van Wyck Expy
Jamaica, NY 11418
Phone
(718) 206-6000
NPI assigned
Mar 13, 2007
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Mounir Doss
Title
C.F.O
Phone
(718) 206-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Jamaica, NY 11418

Mailing address

8900 Van Wyck Expy
Attn Mr. Doss
Jamaica, NY 11418-2897
Phone (718) 206-6291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120126000609 NY Part A Provider - Hospital 2264324334 Practice locations: Jamaica, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669505301. Details of each certification follow.

Hospital certification: CCN 33S014

Legal name
JAMAICA HOSPITAL
Doing business as
JAMAICA HOSPITAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 17, 1892 in NY
Enrollment address
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jamaica Hosp Radiology15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anthony Mazzo Individual Corporate DirectorBoard of Trustee Apr 24, 2014
Antonietta Morisco Individual Corporate DirectorBoard of Trustee Jan 1, 2006
Robert W Koop Individual Corporate DirectorBoard of Trustee Jan 1, 1999
Geoffrey Doughlin Individual Corporate DirectorBoard of Trustee Jan 1, 1999
Neil Foster Phillips Individual Corporate DirectorBoard of Trustee Jan 1, 1976
Douglas W Singer Individual Corporate DirectorBoard of Trustee Jan 1, 2008
Anthony S Dimaria Individual Corporate DirectorBoard of Trustee Jan 1, 1993
Mounir Doss Individual Corporate OfficerCfo, Evp Jul 1, 1986
Bruce Flanz Individual Corporate OfficerPresident & C.E.O Mar 20, 2011
Timothy Dufficy Individual Corporate DirectorBoard of Trustee Jan 1, 2006
Philippa Karteron Individual Corporate DirectorBoard of Trustee Apr 24, 2014
Anthony Maffia Individual W-2 Managing EmployeeVice President Jun 13, 2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1669505301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "address_2": "ATTN MR. DOSS",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "718-206-6291"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.