Active NPI
JHMC Diagnostic and Treatment Center
- Family Medicine Physician
- Jamaica, NY
National Provider Identifier
1821045485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JHMC DIAGNOSTIC AND TREATMENT CENTER
- Practice address
- 11120 Merrick Blvd
Jamaica, NY 11433-4016 - Phone
- (718) 206-9888
- NPI assigned
- May 28, 2006
- 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
- Frederick Beekman
- Title
- Vice President
- Phone
- (718) 206-7001
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Rheumatology Physician | 207RR0500X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
11120 Merrick Blvd
Jamaica, NY 11433-4016
Mailing address
80 Marcus Dr
Provider Enrollment
Melville, NY 11747-4230
Phone (631) 391-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03009827 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 63
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1386794394
-
- Obstetrics & Gynecology Physician
- Elmhurst, NY
- NPI 1801967500
-
- Ophthalmology Physician
- Great Neck, NY
- NPI 1215995139
-
- Family Medicine Physician
- Rego Park, NY
- NPI 1861409344
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1780757211
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1245595602
-
- Obstetrics & Gynecology Physician
- Laurelton, NY
- NPI 1982787834
-
- Pediatrics Physician
- Cambria Heights, NY
- NPI 1437112745
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1033282538
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1235194267
-
- Pediatrics Physician
- Jamaica, NY
- NPI 1710051636
-
- Psychiatry Physician
- Jamaica, NY
- NPI 1467499020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472515200000",
"number": "1821045485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MARCUS DR",
"address_2": "PROVIDER ENROLLMENT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474230",
"telephone_number": "631-391-7700",
"fax_number": "631-454-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 MERRICK BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114334016",
"telephone_number": "718-206-9888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JHMC DIAGNOSTIC AND TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2016-08-30",
"status": "A",
"authorized_official_last_name": "BEEKMAN",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "718-206-7001"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03009827",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.