JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC – NPI #1578080966
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC is a surgeon located in JAMAICA, NY. NPPES has assigned the NPI number 1578080966 to JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC on August 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 8 years ago on Jun 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC below.
NPI Profile for
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
(about 9 years ago)
JAMAICA, NY 11432 Phone: (718) 301-1100 Fax: (224) 246-8042
NORTHBROOK, IL 60062-1900 Phone: (847) 257-1244 Fax: (224) 246-8042
CEO
Phone: (847) 257-1244
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
IL | 036105104 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.