Organization Active NPI

Dr JS Primary Care PLLC

  • Multi-Specialty Clinic/Center
  • Detroit, MI
National Provider Identifier
1740989854
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DR JS PRIMARY CARE PLLC
Practice address
5901 W Vernor Hwy Ste B
Detroit, MI 48209-2180
Phone
(313) 554-4357
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Jamal Aoun, MD
Title
Owner
Phone
(313) 554-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5901 W Vernor Hwy Ste B
Detroit, MI 48209-2180

Mailing address

5901 W Vernor Hwy Ste B
Detroit, MI 48209-2180

National Provider Directory

National Provider Directory

Locations

5901 W Vernor Hwy
Ste B
Detroit, MI 48209
Phone (313) 554-4357

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1740989854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180",
            "telephone_number": "313-554-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JS PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "AOUN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-554-4357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.