Jack Fatiha MD PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

229099 Issued in NY

Legal business name

JACK FATIHA MD PC

Doing business as

1st Family Care

Practice address

709 Avenue U
Brooklyn, NY 11223-4133

Phone

(718) 336-0100

Fax

(718) 336-7139

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Fatiha, M.D.NPI 1619969177

Title

Owner

Phone

(718) 336-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1st Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Jack Fatiha, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1619969177
  Medicare reassignment NPD Authorized official
• Ahmed F Aslam, MD

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1982665311
  Medicare reassignment NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1770596975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234133",
            "telephone_number": "718-336-0100",
            "fax_number": "718-336-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234133",
            "telephone_number": "718-336-0100",
            "fax_number": "718-336-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK FATIHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "FATIHA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-336-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "229099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1619969177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faigy Jachimowitz
• Sarah Jachimowitz
• Tzvi Jachimowitz
• Peggy Jacilien
• Jose Maria Roberto Cruz Jacinto, MD
• Jack Husney MD P.C.
• Jack I. Apelbaum, M.D., P.L.L.C.
• Jack Jedwab MD PC
• Gail Jack-Mason
• Lystra Jack-Tosssaint, LPN

• Health Service Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.