Jackson Heights Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

186252 Issued in NY

Legal business name

JACKSON HEIGHTS MEDICAL, P.C.

Practice address

3743 76TH St
Jackson Heights, NY 11372-6533

Phone

(718) 396-0200

Fax

(718) 505-2819

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alvis Yee, M.D.

Title

President

Phone

(718) 396-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1811912595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "718-396-0200",
            "fax_number": "718-505-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "718-396-0200",
            "fax_number": "718-505-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "ALVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-396-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.