Organization Active NPI

Asjs Medical, PLLC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1811539323
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ASJS MEDICAL, PLLC
Practice address
1880 Prospect PL
Brooklyn, NY 11233-4715
Phone
(718) 484-9116
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Jason Shevetz
Title
President
Phone
(718) 272-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1880 Prospect PL
Brooklyn, NY 11233-4715

Mailing address

1880 Prospect PL
Brooklyn, NY 11233-4715
Phone (718) 484-9116

Other identifiers 1

IdentifierTypeStateIssuer
03307691MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jayshevy@gmail.com

National Provider Directory

National Provider Directory

Locations

1880 Prospect Pl
Brooklyn, NY 11233
Phone (718) 484-9116

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1811539323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334715",
            "telephone_number": "718-484-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334715",
            "telephone_number": "718-484-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASJS MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "SHEVETZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-272-2272"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03307691",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jayshevy@gmail.com",
            "affiliation": "N",
            "address_1": "352 Thomas S Boyland St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112334763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.