Provider Demographics
NPI:1255036083
Name:JA MEDICAL CARE PLLC
Entity type:Organization
Organization Name:JA MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAFREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-444-5230
Mailing Address - Street 1:24825 NORTHERN BLVD STE 1J
Mailing Address - Street 2:PMB 1001
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1280
Mailing Address - Country:US
Mailing Address - Phone:929-444-5230
Mailing Address - Fax:401-340-1045
Practice Address - Street 1:70 GLEN COVE RD STE 202
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1730
Practice Address - Country:US
Practice Address - Phone:929-444-5230
Practice Address - Fax:401-340-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty