Provider Demographics
NPI:1073562468
Name:JMA MEDICAL
Entity Type:Organization
Organization Name:JMA MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:AROVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-723-8506
Mailing Address - Street 1:209 GARTH RD
Mailing Address - Street 2:APT 3C
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3959
Mailing Address - Country:US
Mailing Address - Phone:914-723-8506
Mailing Address - Fax:
Practice Address - Street 1:90 BRYANT AVE
Practice Address - Street 2:#TEE
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1952
Practice Address - Country:US
Practice Address - Phone:914-428-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY097601Medicare ID - Type Unspecified
NYG25670Medicare UPIN