Organization
ASJS MEDICAL, PLLC
Active
Other names
NY Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SHEVETZ MD (PRESIDENT)
(646) 942-2842
Entity
Organization
Contact information
Practice address
1110 PENNSYLVANIA AVE # SF.5, BROOKLYN, NY 11207-9003
(718) 272-2272
(718) 272-2273
Mailing address
1110 PENNSYLVANIA AVE # SF-5, BROOKLYN, NY 11207-9003
(718) 272-2272
(718) 272-2273
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03307691
—
NY
01
—
A100046342
MEDICARE PTAN
—
Enumeration date
11/21/2007
Last updated
12/03/2019
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