| Jsj Medical Group Pc | |
|
1509 Rockaway Parkway Brooklyn NY 11236 | |
| (718) 927-0027 | |
| (516) 791-6529 |
| Full Name | Jsj Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1509 Rockaway Parkway, Brooklyn, New York |
| Authorized Official Name and Position | Mark C. Joseph (OWNER) |
| Authorized Official Contact | 7189270027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsj Medical Group Pc 1509 Rockaway Parkway Brooklyn NY 11236 Ph: (718) 927-0027 | Jsj Medical Group Pc 1509 Rockaway Parkway Brooklyn NY 11236 Ph: (718) 927-0027 |
| NPI Number | 1275785461 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 9739249434 |
|---|---|
| Medicare Enrollment ID | O20090209000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275785461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Keisha Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538227392 PECOS PAC ID: 8123183191 Enrollment ID: I20090209000349 |
| Provider Name | Mark C Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053479816 PECOS PAC ID: 5496810467 Enrollment ID: I20090324000299 |
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