Organization Active NPI

JFK Advanced Medical PC

  • Occupational Medicine Clinic/Center
  • Jamaica, NY
National Provider Identifier
1871804062
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
212722 Issued in NY
Legal business name
JFK ADVANCED MEDICAL PC
Practice address
JFK Airport Building 75
Suite 247/249
Jamaica, NY 11430
Phone
(718) 656-9500
Fax
(718) 656-9503
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
David Rosenthal
Title
Manager
Phone
(718) 656-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 174494-1 NY
Occupational Medicine Clinic/Center 261QX0100X 212722 NY Primary

Addresses

Primary practice location

JFK Airport Building 75
Suite 247/249
Jamaica, NY 11430

Mailing address

JFK Airport Building 75
Suite 247/249
Jamaica, NY 11430
Phone (718) 656-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1871804062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JFK AIRPORT BUILDING 75",
            "address_2": "SUITE 247/249",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-9500",
            "fax_number": "718-656-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JFK AIRPORT BUILDING 75",
            "address_2": "SUITE 247/249",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11430",
            "telephone_number": "718-656-9500",
            "fax_number": "718-656-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFK ADVANCED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-656-9500"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NY",
            "license": "174494-1",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NY",
            "license": "212722",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 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.