Healthcare Provider Details

I. General information

NPI: 1780200378
Provider Name (Legal Business Name): QUALITY MEDICAL CARE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 06/19/2020
Certification Date: 06/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2690 JOHN F KENNEDY BLVD
JERSEY CITY NJ
07306-5804
US

IV. Provider business mailing address

2690 JOHN F KENNEDY BLVD
JERSEY CITY NJ
07306-5804
US

V. Phone/Fax

Practice location:
  • Phone: 201-451-1601
  • Fax: 347-719-3010
Mailing address:
  • Phone: 201-451-1601
  • Fax: 347-719-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASVENDAR SINGH NANDRA
Title or Position: OWNER
Credential: MD
Phone: 407-782-7448