Organization Active NPI

Jamaica Hospital Medical Center

  • Multi-Specialty Clinic/Center
  • Ozone Park, NY
National Provider Identifier
1750423885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7003003H Issued in NY
Legal business name
JAMAICA HOSPITAL MEDICAL CENTER
Practice address
9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone
(718) 641-8207
Fax
(718) 323-0414
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David P. Rosen
Title
President & Ceo
Phone
(718) 206-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7003003H NY Primary

Addresses

Primary practice location

9120 Atlantic Ave
Ozone Park, NY 11416-1527

Mailing address

9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone (718) 641-8207

Other identifiers 1

IdentifierTypeStateIssuer
02706081MedicaidNY

Other names 1

  • Medisys Health Network Other name

National Provider Directory

National Provider Directory
Tax ID family
Jamaica Hospital Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750423885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "718-641-8207",
            "fax_number": "718-323-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "718-641-8207",
            "fax_number": "718-323-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-206-6290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7003003H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02706081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medisys Health Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.