Individual provider Active NPI

Parvez Jafri, M.D.

  • Hospitalist Physician
  • Johnson City, NY
National Provider Identifier
1043381296
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
237408 Issued in NY
Practice address
33-57 Harrison St
Johnson City, NY 13790-2107
Phone
(607) 763-6622
Fax
(607) 763-6524
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237408 NY
Hospitalist Physician 208M00000X 237408 NY Primary

Addresses

Primary practice location

33-57 Harrison St
Johnson City, NY 13790-2107

Mailing address

58 Lusk St
Johnson City, NY 13790-2541
Phone (607) 763-6293

Other identifiers 1

IdentifierTypeStateIssuer
02685909MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20051025000431 NY Practitioner - Internal MedicinePractitioner - Hospitalist 5294752762 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Ny Doctor of Medicine PLLCGroup PAC ID 8628518750, 28 clinicians

Practice addresses (Care Compare)

100 Heritage LN
Albany, NY 12211-1006
Phone (518) 869-2231

315 S Manning Blvd
Albany, NY 12208-1707

427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 842-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237408NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Ny Doctor of Medicine PLLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
Columbia Memorial Hospital Current Accepting new patients
Wajeeh Sana Physician PC Internal Medicine CurrentSince Jun 7, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Aug 27, 2012 Accepting new patients
Columbia Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Aug 27, 2012 Accepting new patients
Columbia Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Nov 10, 2019 Accepting new patients
Albany County Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: pjafri789031@direct.trinity-health.org

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1043381296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LUSK ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902541",
            "telephone_number": "607-763-6293",
            "fax_number": "607-763-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6622",
            "fax_number": "607-763-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "PARVEZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237408",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "237408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685909",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "33-57 Harrison St",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137902107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.