J.S.K. Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

227598 Issued in NY

Legal business name

J.S.K. MEDICAL PC

Practice address

947 Columbus Ave
3B
New York, NY 10025-3108

Phone

(917) 892-9432

Fax

(877) 721-3255

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jacob-Sung S Keum, D.O.NPI 1215998737

Title

President

Phone

(917) 892-9432

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Sung Sik Keum, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Keokuk, IA
  • NPI 1215998737

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1841591153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10248 43RD AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682434",
            "telephone_number": "718-779-1900",
            "fax_number": "718-803-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 COLUMBUS AVE",
            "address_2": "3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253108",
            "telephone_number": "917-892-9432",
            "fax_number": "877-721-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.S.K. MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "KEUM",
        "authorized_official_first_name": "JACOB-SUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-892-9432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "227598",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "227598",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "227598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.J. Columbus Drug Co. Inc.
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• J.L.Glashow M.D.,P.C.
• J.M. Rashbaum D.M.D., P.C.
• J.S. Hoagland,Guild Opticians
• J&L Psychology Group, PLLC
• J&S Dental PC
• Mike Jaafar
• Randa Jaafar, M.D.
• Anandi Jaaj

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.