| Mr Justin John, RN | |
|
560 W 168th St, New York, NY 10032-3917 | |
| (212) 305-4318 | |
| Not Available |
| Full Name | Mr Justin John |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 560 W 168th St, New York, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013647205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 154923 (New York) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 747312 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
| Flushing Hospital Medical Center | Flushing, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jamaica Anesthesiologist Pc | 1355323460 | 80 |
| Entity Name | Jamaica Anesthesiologist PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508812892 PECOS PAC ID: 1355323460 Enrollment ID: O20040602001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin John, RN 127 Norman Dr, East Meadow, NY 11554-1639 Ph: (516) 303-6814 | Mr Justin John, RN 560 W 168th St, New York, NY 10032-3917 Ph: (212) 305-4318 |
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