JHMC DIAGNOSTIC AND TREATMENT CENTER (NPI# 1821045485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821045485 |
| Entity Type | Organization |
| Organization Name | JHMC DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
11120 Merrick Blvd Jamaica NY 11433-4016 |
| Mailing Address |
80 Marcus Dr Provider Enrollment Melville NY 11747-4230 |
| Practice Telephone | 7182069888 |
| Mailing Telephone | 6313917700 |
| Mailing Fax Number | 6314544163 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | FREDERICK BEEKMAN (VICE PRESIDENT) |
| Authorized Official Telephone | 7182067001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03009827 | 05 |
| Street Address |
11120 MERRICK BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11433-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195876 | Edward Wood | Ophthalmology | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-04-22 |
| 1275912495 | Mark Abiah Stephen | Family Medicine | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2015-05-20 |
| 1477942597 | Nanna Oseitutu-ebanks | Family Medicine | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2015-01-13 |
| 1205007119 | Hyosol Yang | Dentist | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2008-03-19 |
| 1487841318 | Saroja Yarramreddy | Family Medicine | 11120 Merrick Blvd, Jhmc-dtc, Jamaica, NY 11433-4016 | 2007-09-25 |
| 1861551764 | Dan Matz | Obstetrics & Gynecology | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-12-06 |
| 1699873216 | Arlene Perkins | Internal Medicine | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-09-20 |
| 1023037314 | Caroline Arevalo | Dentist | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849710 | Smana Seradieu | Social Worker | 109 16 176th Street Jamaica, 109 16 176th Street Jamaica, Queens, NY 11433 | 2020-07-30 |
| 1336610716 | Dian Ann Scarlet | Specialist | 89-28 Merrick Blvd, Jamaica, NY 11433 | 2018-12-11 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1346759453 | Cecilia Vellozo | Speech-Language Pathologist | P.s. 48 William Wordsworth School, 10829 155th St, Jamaica, NY 11433 | 2017-09-21 |
| 1942723648 | Cheron Johnson | Behavior Technician | 107-29 172nd Street, Jamaica, NY 11433 | 2017-07-25 |
| 1093237208 | Bal & Dhamija Inc | Pharmacy | 107-45 Guy Brewer Blvd, Jamaica, NY 11433 | 2017-07-10 |
| 1962931311 | Emily Sheppard | Behavioral Analyst | 17326 113 Ave, Jamaica, NY 11433 | 2017-06-08 |
| 1497288310 | Ana Martinez | Licensed Practical Nurse | 176-08 108 Road, Brooklyn, NY 11433 | 2017-04-07 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1346787116 | Jennifer Jenine Griffith | Behavior Technician | 11307 175th St., Jamaica, NY 11433 | 2017-01-31 |
| Find all providers in zip 11433 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061143 | Atm Gouse Mohiuddin | Family Medicine | 8900 170th St, Jamaica, NY 11432-5341 | 2020-07-28 |
| 1891254272 | Bari Medical Pllc | Family Medicine | 17016 84th Dr, Jamaica, NY 11432-2109 | 2019-03-15 |
| 1235657925 | Mythily Ramanathan | Family Medicine | 8715 165th St Apt 2d, Jamaica, NY 11432-3513 | 2017-09-02 |
| 1720513427 | St. Sebastian Medical PC | Family Medicine | 16836 Jamaica Ave, Jamaica, NY 11432-5216 | 2017-05-01 |
| 1104161827 | Citywide Medical Care, PC | Family Medicine | 15325 Hillside Ave, Jamaica, NY 11432-3331 | 2012-12-06 |
| 1891926853 | Naznin Khan | Family Medicine | 118-11 Guy R Brewer Blvd, Jamaica, NY 11434-4006 | 2009-08-07 |
| 1457548745 | Pancare Medical PC | Family Medicine | 15915 Hillside Ave, Jamaica, NY 11432-3935 | 2007-10-01 |
| 1023174596 | Patricia Wong Hermogenes | Family Medicine | 13701 83rd Ave, 1b, Jamaica, NY 11435-1562 | 2006-12-29 |
| 1033298906 | Sophia Streete Smalls | Family Medicine | 11513a Merrick Blvd, Jamaica, NY 11434-1851 | 2006-11-03 |
| 1922186782 | Kaniz Fatema Begum | Family Medicine | 137-50 Jamaica Ave, Jamaica, NY 11435-3610 | 2006-11-01 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.