Organization
JOSE F. CERVANTES JR. MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FELIPE CERVANTES JR. MD (OWNER)
(718) 835-1056
Entity
Organization
Contact information
Practice address
12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
(718) 835-1056
(718) 835-2769
Mailing address
12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
(718) 835-1056
(718) 835-2769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
159085
NY
207RH0003X
Hematology & Oncology Physician
Primary
159085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013372
—
NY
01
—
0553273
CIGNA HEALTHCARE
NY
01
—
1000016335
AFFINITY HEALTH PLAN
NY
01
—
1201510
AETNA
NY
01
—
137245
WELLCARE OF NY
NY
01
—
1569153-1
1199 NATIONAL BENEFIT FUN
NY
01
—
159085
HIP
NY
01
—
159085-B17
HEALTH FIRST
NY
01
—
160124
ELDERPLAN
NY
01
—
2605940
UNITED HEALTHCARE
NY
01
—
2Z603
EMPIRE BLUE CROSS BLUE SH
NY
01
—
6C0541
HEALTHNET
NY
01
—
7299185
GHI
NY
01
—
78371
VYTRA HEALTHCARE
NY
01
—
P00000070683
GHI MEDICARE CHOICE PPO
NY
01
—
P00388302
RAILROAD MEDICARE
NY
01
—
P3715361
OXFORD HEALTH PLAN
NY
Enumeration date
01/05/2007
Last updated
09/26/2007
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