Provider Demographics
NPI:1780200378
Name:QUALITY MEDICAL CARE MD LLC
Entity Type:Organization
Organization Name:QUALITY MEDICAL CARE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASVENDAR
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:NANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-782-7448
Mailing Address - Street 1:2690 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5804
Mailing Address - Country:US
Mailing Address - Phone:201-451-1601
Mailing Address - Fax:347-719-3010
Practice Address - Street 1:2690 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5804
Practice Address - Country:US
Practice Address - Phone:201-451-1601
Practice Address - Fax:347-719-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty