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J & J MEDICAL CARE PLLC NPI 1639252380


NPI Information

NPI: 1639252380
Provider Name: J & J MEDICAL CARE PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
14351 ROOSEVELT AVE
SUITE 1B
FLUSHING, NY
ZIP 11354
Phone: (718) 359-5603
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J & J MEDICAL CARE PLLC is a mental health (including community mental health center) clinic center in Flushing, NY. J & J MEDICAL CARE PLLC NPI is 1639252380. The provider is registered as an organization entity type.

The provider's business location address is:

14351 ROOSEVELT AVE
SUITE 1B
FLUSHING, NY
ZIP 11354-106
Phone: (718) 359-5603
Fax: (718) 359-5610

The provider's authorized official is Jason Shixie Liu .
The authorized official title is President and has the following contact phone number (718) 359-5603.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)216399NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H44861MEDICARE UPINNEW YORK
202198658MEDICAIDNEW YORK
304647MEDICARE ID-TYPE UNSPECIFIEDNEW 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

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