Jahan Medical Service PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

216654 Issued in NY

Legal business name

JAHAN MEDICAL SERVICE PC

Practice address

509 McDonald Ave
Brooklyn, NY 11218-3885

Phone

(718) 576-6667

Fax

(718) 853-3968

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mumtaz Jahan, MDNPI 1952358079

Title

Director

Phone

(718) 576-6667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Mumtaz Jahan, MD

  • Family Medicine Physician
  • East Elmhurst, NY
  • NPI 1952358079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1962758557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 48 BUTLER STREET",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691928",
            "telephone_number": "646-942-4308",
            "fax_number": "718-853-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183885",
            "telephone_number": "718-576-6667",
            "fax_number": "718-853-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHAN MEDICAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "JAHAN",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-576-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "216654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navaal Rishi Jagram, MD
• Javed Jagroo, MBBS
• Christina Jagusiak, L.AC.
• Lewis Jagust
• Jah Optical, Inc.
• Humera Jahan
• Abdul K. Jahangir, MD.
• Ahmad Jahangir
• Zentasha Jahanzeb
• Katherine Jahnes, M.D.

• Adult Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.