Organization Active NPI

JP Physician

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1750751145
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
245865-1 Issued in NY
Legal business name
JP PHYSICIAN
Practice address
584 Broadway
Suite 510
New York, NY 10012-3229
Phone
(844) 283-3979
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Jay Parkinson, M.D.
Title
Chief Medical Officer
Phone
(844) 283-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 245865-1 NY Primary

Addresses

Primary practice location

584 Broadway
Suite 510
New York, NY 10012-3229

Mailing address

584 Broadway
Suite 510
New York, NY 10012-3229
Phone (844) 283-3979

National Provider Directory

National Provider Directory

Locations

584 Broadway
Rm 510
New York, NY 10012
Phone (202) 827-6646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1750751145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "844-283-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123229",
            "telephone_number": "844-283-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "844-283-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "245865-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.