Active NPI
JGS Administrative Services Incorporation
- Internal Medicine Physician
- Longmeadow, MA
National Provider Identifier
1780669689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JGS ADMINISTRATIVE SERVICES INCORPORATION
- Practice address
- 770 Converse St
Longmeadow, MA 01106-1719 - Phone
- (413) 567-3949
- Fax
- (413) 567-0175
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan Rosenfeld
- Title
- Ceo
- Phone
- (413) 567-3939
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Psychiatry Physician | 2084P0800X | |||
| Geriatric Psychiatry Physician | 2084P0805X |
Addresses
Primary practice location
770 Converse St
Longmeadow, MA 01106-1719
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M16813 | Other | MA | GRP BLUE CROSS |
| 9786546 | Medicaid | MA |
Other names 1
- JGS Family Medical Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1780669689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010560789",
"telephone_number": "413-509-1000",
"fax_number": "413-509-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 CONVERSE ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061719",
"telephone_number": "413-567-3949",
"fax_number": "413-567-0175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JGS ADMINISTRATIVE SERVICES INCORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "ROSENFELD",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "413-567-3939",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP BLUE CROSS",
"identifier": "M16813",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9786546",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JGS Family Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.