JOSE F. CERVANTES JR. MD PLLC NPI 1215084512

NPI Information

NPI: 1215084512
Provider Name: JOSE F. CERVANTES JR. MD PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
12239 135TH AVE
SOUTH OZONE PARK, NY
ZIP 11420
Phone: (718) 835-1056
Get Directions

JOSE F. CERVANTES JR. MD PLLC is a hematology and oncology internal medicine in South Ozone Park, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. JOSE F. CERVANTES JR. MD PLLC NPI is 1215084512. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12239 135TH AVE
SOUTH OZONE PARK, NY
ZIP 11420-238
Phone: (718) 835-1056
Fax: (718) 835-2769

The provider's authorized official is Jose Felipe Cervantes .
The authorized official title is Owner and has the following contact phone number (718) 835-1056.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 9/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		159085	NEW YORK	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	159085	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P3715361	OTHER	NEW YORK	OXFORD HEALTH PLAN
2	0553273	OTHER	NEW YORK	CIGNA HEALTHCARE
3	78371	OTHER	NEW YORK	VYTRA HEALTHCARE
4	2Z603	OTHER	NEW YORK	EMPIRE BLUE CROSS BLUE SH
5	7299185	OTHER	NEW YORK	GHI
6	07907	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
7	P00000070683	OTHER	NEW YORK	GHI MEDICARE CHOICE PPO
8	1201510	OTHER	NEW YORK	AETNA
9	6C0541	OTHER	NEW YORK	HEALTHNET
10	P00388302	OTHER	NEW YORK	RAILROAD MEDICARE
11	1569153-1	OTHER	NEW YORK	1199 NATIONAL BENEFIT FUN
12	01013372	MEDICAID	NEW YORK
13	159085	OTHER	NEW YORK	HIP
14	2605940	OTHER	NEW YORK	UNITED HEALTHCARE
15	1000016335	OTHER	NEW YORK	AFFINITY HEALTH PLAN
16	137245	OTHER	NEW YORK	WELLCARE OF NY
17	159085-B17	OTHER	NEW YORK	HEALTH FIRST
18	160124	OTHER	NEW YORK	ELDERPLAN
19	A65010	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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