Healthcare Provider Details

I. General information

NPI: 1265926216
Provider Name (Legal Business Name): JEMCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 SHEEPSHEAD BAY ROAD STE 580
BROOKLYN NY
11224
US

IV. Provider business mailing address

626 SHEEPSHEAD BAY ROAD STE 580
BROOKLYN NY
11224
US

V. Phone/Fax

Practice location:
  • Phone: 718-506-0725
  • Fax:
Mailing address:
  • Phone: 718-859-1600
  • Fax: 718-421-9157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTIN ITZKOWITZ
Title or Position: CEO
Credential:
Phone: 718-506-0725