| Queens Village Committee For Mental Health For J-cap, Inc | |
|
116-30 Sutphin Blvd. Jamaica NY 11434-1527 | |
| (718) 322-2500 | |
| (718) 322-1881 |
| Full Name | Queens Village Committee For Mental Health For J-cap, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 116-30 Sutphin Blvd., Jamaica, New York |
| Authorized Official Name and Position | Vicky Gatell (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189607629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Village Committee For Mental Health For J-cap, Inc 311 E 175th St Bronx NY 10457-5859 Ph: (718) 960-7568 | Queens Village Committee For Mental Health For J-cap, Inc 116-30 Sutphin Blvd. Jamaica NY 11434-1527 Ph: (718) 322-2500 |
| NPI Number | 1679641757 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 09/23/2022 |
| Medicare PECOS PAC ID | 0749407237 |
|---|---|
| Medicare Enrollment ID | O20140806002052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679641757 | NPI | - | NPPES |
| 01090000 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 090310090 (New York) | Secondary |
| Provider Name | David Collymore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023000353 PECOS PAC ID: 4981696283 Enrollment ID: I20040330000518 |
| Provider Name | Yulan Nash-daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457618274 PECOS PAC ID: 2668809807 Enrollment ID: I20200227001263 |
| Provider Name | Larry St. Jour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881433217 PECOS PAC ID: 0547780207 Enrollment ID: I20250225001440 |
Empire Gate Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8810 Parsons Blvd, Jamaica, NY 11432 Phone: 718-291-8111 Fax: 718-487-9343 | |
Basic Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17227 Highland Ave Apt 1b, Jamaica, NY 11432 Phone: 718-558-9070 | |
Care For The Homeless Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9023 161st St, Jamaica, NY 11432 Phone: 718-709-5054 Fax: 212-366-1773 | |
Community Healthcare Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9704 Sutphin Blvd, Jamaica, NY 11435 Phone: 718-657-7088 Fax: 718-657-7092 | |
Exedus Family Healthcare & Wellness Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11410 Merrick Blvd, Jamaica, NY 11434 Phone: 718-233-2972 Fax: 667-771-0892 | |
South Merrick Np In Adult Health P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 Merrick Blvd, Jamaica, NY 11433 Phone: 718-658-9700 | |
Physician Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8216 164th Pl, 1st Floor, Jamaica, NY 11432 Phone: 646-644-8067 |