Jayray Urodynamics LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

31482 Issued in GA

Legal business name

JAYRAY URODYNAMICS LLC

Practice address

3951 Snapfinger Pkwy
Suite 350
Decatur, GA 30035-3202

Phone

(404) 284-2228

Fax

(404) 284-3855

NPI assigned

Mar 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vintonne A Naiden, M.D.

Title

President/Ceo

Phone

(404) 284-2228

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1003058785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 SNAPFINGER PKWY",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353202",
            "telephone_number": "404-284-2228",
            "fax_number": "404-284-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 SNAPFINGER PKWY",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353202",
            "telephone_number": "404-284-2228",
            "fax_number": "404-284-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYRAY URODYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "NAIDEN",
        "authorized_official_first_name": "VINTONNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "404-284-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "31482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Decatur, GA
• Providers in Decatur, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.