JSR Medical Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JSR MEDICAL SERVICES LLC

Practice address

214 State Highway 36
Suite 5
West Long Branch, NJ 07764

Phone

(732) 222-8000

Fax

(732) 963-2246

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Joel Ross, MD

Title

Owner

Phone

(732) 222-8000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1821445594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE HIGHWAY 36",
            "address_2": "SUITE 5",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-222-8000",
            "fax_number": "732-263-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE HIGHWAY 36",
            "address_2": "SUITE 5",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-222-8000",
            "fax_number": "732-963-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Monmouth Beach",
            "state": "NJ",
            "postal_code": "077501271",
            "country_code": "US",
            "telephone_number": "908-489-8760",
            "fax_number": "732-263-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JSR MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-222-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "MA04782100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M. Jackson, MA, LPC, LCADC
• Sharon Jackson, MD
• Punit Rajnikant Jariwala, M.D.
• Jersey Shore Ophthalmology Retina Consultants, LLC
• Joanne Jodry, LPC, LCADC
• Dylan Jue
• Keith Kanik, M.D.
• Gary V Karakashian, M.D.
• Samantha Keenan, CNM, WHNP-BC
• Amanda Ashley Kelly, MSW, LCSW

• Primary Care Clinic/Center in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.