Organization Active NPI

Jamaica Hospital Medical Center

  • Dental Clinic/Center
  • St. Albans, NY
National Provider Identifier
1992856769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
049290 Issued in NY
Legal business name
JAMAICA HOSPITAL MEDICAL CENTER
Practice address
171-23 111TH Ave.
St. Albans, NY 11433
Phone
(718) 206-9888
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Epstein
Title
DDS
Phone
(718) 739-9662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 049290 NY Primary

Addresses

Primary practice location

171-23 111TH Ave.
St. Albans, NY 11433

Mailing address

4153 57TH St
Woodside, NY 11377-4745
Phone (917) 476-7781

National Provider Directory

National Provider Directory
Tax ID family
Jamaica DTC Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992856769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 57TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774745",
            "telephone_number": "917-476-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171-23 111TH AVE.",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-206-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-739-9662",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "049290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.