JFK ADVANCED MEDICAL PC NPI 1871804062

NPI Information

NPI: 1871804062
Provider Name: JFK ADVANCED MEDICAL PC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
JFK AIRPORT BUILDING 75
SUITE 247/249
JAMAICA, NY
ZIP 11430
Phone: (718) 656-9500
Get Directions

JFK ADVANCED MEDICAL PC is an occupational medicine clinic center in Jamaica, NY. JFK ADVANCED MEDICAL PC NPI is 1871804062. The provider is registered as an organization entity type.

The provider's business location address is:

JFK AIRPORT BUILDING 75
SUITE 247/249
JAMAICA, NY
ZIP 11430
Phone: (718) 656-9500
Fax: (718) 656-9503

The provider's authorized official is David Rosenthal .
The authorized official title is Manager and has the following contact phone number (718) 656-9500.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 6/23/2010.

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	261QX0100X	Clinic/Center	Occupational Medicine	174494-1	NEW YORK	No
2	261QX0100X	Clinic/Center	Occupational Medicine	212722	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
1	E12817	MEDICARE UPIN	NEW YORK
2	4435E1	MEDICARE PIN	NEW YORK
3	G89597	MEDICARE UPIN	NEW YORK
4	03417	MEDICARE PIN	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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