Jacques Medical Services PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

199373 Issued in NY

Legal business name

JACQUES MEDICAL SERVICES PLLC

Practice address

1618 New York Ave
Huntington Station, NY 11746-2418

Phone

(631) 421-2190

Fax

(631) 421-2695

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Marie Carmel Jacques, M.D.

Title

Physcial

Phone

(631) 421-2190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1881833713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462418",
            "telephone_number": "631-421-2190",
            "fax_number": "631-421-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462418",
            "telephone_number": "631-421-2190",
            "fax_number": "631-421-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "CARMEL",
        "authorized_official_title_or_position": "PHYSCIAL",
        "authorized_official_telephone_number": "631-421-2190",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "199373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Rehab & Sports PT PC
• Island Sports Physiotherapy, PC
• Shirley Isme, L.AC
• Colleen Ann Itzkowitz, LMSW
• Dale D Jabagat, PT
• Marie Carmel Jacques, M.D.
• Warda Javaid, PHYSICAL THERAPIST
• Javier F Vieytez MD PC
• Kathleen Jensen
• Liam Jensen, RN

• Primary Care Clinic/Center in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.