Individual provider Active NPI

Jagmohan K Kalra, M.D.

  • Medical Oncology Physician
  • New Hyde Park, NY
National Provider Identifier
1043346950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
125112 Issued in NY
Practice address
2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018
Phone
(516) 358-7700
Fax
(516) 358-0319
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 125112 NY Primary

Addresses

Primary practice location

2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018

Mailing address

2500 Marcus Ave
Suite 110
New Hyde Park, NY 11042-1018
Phone (516) 358-7700

Other identifiers 1

IdentifierTypeStateIssuer
01682728MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317001070 NY Practitioner - Hematology/OncologyPractitioner - Medical Oncology 1456306810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1 Delaware Dr
Suite 101
New Hyde Park, NY 11042-1116
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125112NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Nov 1, 2022 Accepting new patients
Amb Medical Services, P.C. CurrentSince Sep 18, 2015 Accepting new patients

Locations

1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100

27005 76th Ave
North New Hyde Pk, NY 11040

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043346950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVE",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-358-7700",
            "fax_number": "516-358-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVE",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-358-7700",
            "fax_number": "516-358-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "JAGMOHAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "125112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.