MEDICARE: JSMK UROLOGY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1215579297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JSMK UROLOGY PC

Provider Business Mailing Address
First Line	:	4161 KISSENA BLVD STE 1B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3105
Country	:	US
Telephone Number	:	718-888-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 SYLVAN AVE STE 202
Second Line	:
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-2559
Country	:	US
Telephone Number	:	718-888-7800
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENN KIM
Credential	:
Telephone Number	:	718-888-7800

Provider Enumeration Date	:	10/11/2019
Last Update Date	:	10/11/2019

Similar Medicare Providers

1780555060 — NORTHEAST SURGICAL SPECIALISTS OF NJ PC
Practice Location Address:

140 SYLVAN AVE STE 213
ENGLEWOOD CLIFFS, NJ
07632-2559

Practice Phone: 718-626-0707
Practice Fax: 718-545-0333

1306041009 — DR. JONATHAN L. HUGO M.D.
Practice Location Address:

140 SYLVAN AVE STE 213
ENGLEWOOD CLIFFS, NJ
07632-2559

Practice Phone: 551-444-2407
Practice Fax: 646-962-0139

1912537101 — HAN HOLISTIC CLINIC INC
Practice Location Address:

140 SYLVAN AVE STE 209
ENGLEWOOD CLIFFS, NJ
07632-2559

Practice Phone: 201-408-5944
Practice Fax:

1760409494 — G&D SURGICAL AND DRUG CO INC
Practice Location Address:

225 NORTH DEAN ST
ENGLEWOOD, NJ
07631-2559

Practice Phone: 201-567-0011
Practice Fax: 201-567-5141

1497617971 — JENNIFER RUSSELL LMSW
Practice Location Address:

21 EGAN PL
ENGLEWOOD CLIFFS, NJ
07632-2012

Practice Phone: 917-405-1147
Practice Fax:

1093710949 — DR. AARON RABIN M.D.
Practice Location Address:

700 PALISADE AVENUE
ENGLEWOOD CLIFFS, NJ
07632

Practice Phone: 201-568-3412
Practice Fax:

Directions to “JSMK UROLOGY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.