Organization Active NPI

Jackson Heights Medical, P.C.

  • Surgery Physician
  • Jackson Heights, NY
National Provider Identifier
1669699096
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
186252 Issued in NY
Legal business name
JACKSON HEIGHTS MEDICAL, P.C.
Practice address
3743 76TH St
1St Floor
Jackson Heights, NY 11372-6533
Phone
(718) 396-0200
Fax
(718) 505-2819
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Alvis Yee, M.D.NPI 1487698999
Title
President
Phone
(718) 396-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 186252 NY Primary

Addresses

Primary practice location

3743 76TH St
1St Floor
Jackson Heights, NY 11372-6533

Mailing address

3743 76TH St
1St Floor
Jackson Heights, NY 11372-6533
Phone (718) 396-0200

National Provider Directory

National Provider Directory

Locations

3743 76th St
#1
Jackson Heights, NY 11372
Phone (718) 396-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1669699096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "address_2": "1ST FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "718-396-0200",
            "fax_number": "718-505-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "address_2": "1ST FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "718-396-0200",
            "fax_number": "718-505-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "ALVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-396-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "186252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.