JACQUES MEDICAL SERVICES PLLC NPI 1881833713

NPI Information

  • NPI: 1881833713
  • Provider Name: JACQUES MEDICAL SERVICES PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1618 NEW YORK AVE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 421-2190

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NPI Details

JACQUES MEDICAL SERVICES PLLC is a primary care clinic center in Huntington Station, NY. JACQUES MEDICAL SERVICES PLLC NPI is 1881833713. The provider is registered as an organization entity type.

The provider's business location address is:

1618 NEW YORK AVE
HUNTINGTON STATION, NY
ZIP 11746-418
Phone: (631) 421-2190
Fax: (631) 421-2695

The provider's authorized official is Marie Carmel Jacques .
The authorized official title is Physcial and has the following contact phone number (631) 421-2190.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 2/17/2009.

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
1261QP2300XClinic/CenterPrimary Care199373NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G66052MEDICARE UPINNEW 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: 11/21/2025

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