Provider Demographics
NPI:1225128473
Name:PAUL G JONES MD PC
Entity Type:Organization
Organization Name:PAUL G JONES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:F
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-794-5119
Mailing Address - Street 1:4 PHILWOLD RD
Mailing Address - Street 2:
Mailing Address - City:FORESTBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12777
Mailing Address - Country:US
Mailing Address - Phone:845-794-5119
Mailing Address - Fax:845-791-1769
Practice Address - Street 1:427 BROADWAY
Practice Address - Street 2:STE #2
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701
Practice Address - Country:US
Practice Address - Phone:845-794-5119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA0990711207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty