JC Jimenez Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JC JIMENEZ MEDICAL PLLC

Practice address

9516 63Rd Rd
Rego Park, NY 11374-1142

Phone

(718) 685-2323

NPI assigned

May 9, 2024

Last updated

Sep 23, 2024By 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

Jean Carlos Jimenez, MD

Title

Owner

Phone

(718) 685-2323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Jean-Carlos Jimenez, M.D.

  • Hospitalist Physician
  • Sharon, CT
  • NPI 1801154455

  NY

  Medicare reassignment NPD
• Stella Abayeva, P.A.

  • Medical Physician Assistant
  • Forest Hills, NY
  • NPI 1124326467
  Medicare reassignment
• Stella Aronova, P.A.

  • Physician Assistant
  • Flushing, NY
  • NPI 1386979656
  Medicare reassignment

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1689422073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741142",
            "telephone_number": "718-685-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741142",
            "telephone_number": "718-685-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC JIMENEZ MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-685-2323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Victoria Balcos Javaluyas, DPT
• Maryam Javid, MS., OTR/L
• Simranjit Kaur Jawandha, DO
• Vivek Jayadeva, MD
• Jayesh Kamdar, MD
• Melissa Tessa Jean, ANP
• Jenn Jill Family Inc
• Jenn Jill Family Inc
• Jenn Jill Family Inc
• Jericho Tpke RX Inc (City Pharmacy)

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.