# PROVIDER MEDICAL SERVICES NY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922911924
- **Authorized official:** THOMAS JOKERST DO (PRESIDENT)
- **Authorized official phone:** (615) 499-3165

## Contact information

- **Practice address:** 49 MILVAL LN, HIGHLAND MILLS, NY 10930-2024
- **Practice address phone:** (615) 499-3165
- **Mailing address:** 329 S OYSTER BAY RD \# 2059, PLAINVIEW, NY 11803-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026