JCB of Glen Cove

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JCB OF GLEN COVE

Practice address

12 Sycamore Rd
Glen Cove, NY 11542-1725

Phone

(516) 676-6833

NPI assigned

Aug 29, 2008

Last updated

Oct 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James C Bao, PH.D.

Title

President

Phone

(516) 676-6833

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chengmo Bao

  • Specialist
  • Glen Cove, NY
  • NPI 1760845952
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1780832956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SYCAMORE ROAD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-676-6833",
            "fax_number": "516-676-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SYCAMORE RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421725",
            "telephone_number": "516-676-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCB OF GLEN COVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-6833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "52100",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim B Jackson
• Richard G Jacobson, PAC
• Jae Hong Park Dental, P.C.
• Jaetris Homecare Solutions, Inc.
• Chowdhury Shakhawat Jahan
• Sanjiv Jhaveri, MD
• Katherine Jimenez, REGISTERED NURSE
• Maureen Alexandra Jimenez, SLP
• JMR Medsupply Corp
• Lisa Marie Johanson, P.T.A.

• Developmentally Disabled Services Day Training Agency in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.