Jan Quaegebeur, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

189014-1 Issued in NY

Practice address

3959 Broadway
BHN Room 276
New York, NY 10032-1559

Phone

(212) 305-2417

Fax

(212) 342-5263

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Trustees of Columbia University in the City of New York

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
  • NPI 1114083599
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1982644779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27036",
            "address_2": "BHN ROOM 276",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877036",
            "telephone_number": "212-305-2417",
            "fax_number": "212-342-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BROADWAY",
            "address_2": "BHN ROOM 276",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321559",
            "telephone_number": "212-305-2417",
            "fax_number": "212-342-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAEGEBEUR",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "189014-1",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "189014-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Quach
• Nhi Quach
• Kelly Quackenbush, RN, MSN
• Margery C. Quackenbush, PHD
• Abdul Quadeer, MD
• Kathleen Mary Quain, LCSW
• Qualia Madison Chiropractic PC
• Quality Care Physical Therapy, PC
• Quality Dental Care of Ny
• Quality Internal Medicine and Geriatrics

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York, NY
• Providers in New York, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.