Jackson Heights Medical Care Pc
LBN: Jackson Heights Medical Care Pc
Jackson Heights Medical Care Pc is an health care organization with primary practice located at 2008 Seagirt Blvd , Far Rockaway NY 11691-2803. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Sleep Medicine is the primary health care specialty.
Jackson Heights Medical Care Pc can be contacted via phone (718) 565-6880, or through Nicholeau, Carl A. via phone (718) 344-5293.
Contact Information
Primary practice address
2008 Seagirt Blvd
Far Rockaway NY 11691-2803
Phone: (718) 565-6880
Fax: (877) 796-4457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1003250762 |
|---|---|
| LBN Legal business name | Jackson Heights Medical Care Pc |
| DBA Doing business as | |
| Authorized official | Nicholeau, Carl A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2013 |
| Last updated | Aug 26th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003250762 | NPPES |
| New York | Other | G100516770 | MEDICARE PROVIDER ID |
| New York | MEDICAID | 06748732 | MEDICARE PROVIDER ID |
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