Jae Medical Clinic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA073038 Issued in NJ

Legal business name

JAE MEDICAL CLINIC, LLC

Practice address

311 Palisade Ave
Jersey City, NJ 07307-1772

Phone

(201) 963-5500

Fax

(201) 963-5563

NPI assigned

Aug 18, 2007

Last updated

Jan 13, 2015By 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

Zorayda Olaya Deleon, M.D.NPI 1023081338

Title

President

Phone

(201) 963-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Zorayda Olaya De Leon, MD

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1023081338
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1679766125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071772",
            "telephone_number": "201-963-5500",
            "fax_number": "201-963-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071772",
            "telephone_number": "201-963-5500",
            "fax_number": "201-963-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "ZORAYDA",
        "authorized_official_middle_name": "OLAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-963-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA073038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.R.Zamora,M.D.,P.a.
• Jaleela A Jackson
• Tonyette M. Jackson, LSW
• Jacqui & Carol Cares
• Jadira's Transportation LLC
• Ruchitaben Naranbhai Jagani
• Mona Jaggi, M.D.
• Kathleen Jaime, LSW
• Dipali Jain, DDS
• Doney B Jain, M.D.

• Medical Specialty Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.