Randa Jaafar MD,PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

261144 Issued in NY

Legal business name

RANDA JAAFAR MD,PC

Practice address

340 East 49TH St.
Ground Floor
New York, NY 10017

Phone

(646) 876-5566

Fax

(646) 876-5577

NPI assigned

Dec 11, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randa Jaafar, MDNPI 1619126208

Title

Owner

Phone

(646) 876-5566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randa Jaafar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
  • NPI 1619126208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1023523198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 49TH ST",
            "address_2": "17A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-876-5566",
            "fax_number": "646-876-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EAST 49TH ST.",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-876-5566",
            "fax_number": "646-876-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDA JAAFAR MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JAAFAR",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-876-5566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "261144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Robin Rand
• Megan Lynn Rand, LMHC
• Rebecca Rand, LCSW
• Stephanie A Rand, MD
• Susan Michelle Rand, DDS
• Randa M Garana MD PC
• Isabelle Randall
• Rosette Lacrecia Randall, LMSW
• Sarah Randall, LMSW
• Starlite Randall, LCSW

• Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.