JPK Anesthesia Services PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

JPK ANESTHESIA SERVICES PC

Practice address

2200 Northern Blvd Ste 100D
Greenvale, NY 11548-1219

Phone

(516) 243-8521

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By 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

John Kelly, DO

Title

President

Phone

(516) 578-3028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1740816339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KNOLLWOOD RD",
            "city": "MUTTONTOWN",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 100D",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481219",
            "telephone_number": "516-243-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPK ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-578-3028",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Huang-Parise, DDS
• Nikol Ilyasov, PA-C
• Irene C. Lin, MD PC
• Ramon Jordan Jackson III, MD
• John a Venditto MD PC
• Davina Kahen, RDN
• Antonios Kambouris, DPT
• Andrea B Kaplan, MD
• Priyanka Karam, M. B. B. S.
• Kaushik Gastroenterology PC

• Anesthesiology Physician in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.