NPIMap

Organization Active NPI

Jag Medical PLLC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1891437810
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JAG MEDICAL PLLC
Practice address
635 Madison Ave FL 6
New York, NY 10022-1009
Phone
(212) 988-2111
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Zaied Abbassi
Title
Billing Manager
Phone
(973) 321-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

635 Madison Ave FL 6
New York, NY 10022-1009

Mailing address

10816 63Rd Rd
Forest Hills, NY 11375-1352
Phone (973) 321-3809

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2308956Jag Medical PLLC C/O Viva Eve635 Madison Avenue, Suite 601, New York, NY 10022Provider-performed microscopyAug 6, 2026

National Provider Directory

National Provider Directory

Locations

635 Madison Ave
Fl 6
New York, NY 10022
Phone (212) 988-2111

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1891437810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352",
            "telephone_number": "973-321-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-988-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "ZAIED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-321-3809"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.