Ana Silvia Jain, TEACHER

Primary specialty

SpecialistTaxonomy code 174400000X

License

483935101 Issued in NY

Practice address

641 Goethals Rd N FL 2
Staten Island, NY 10314-7205

Phone

(347) 881-6295

NPI assigned

Jun 13, 2012

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1043572100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 GOETHALS RD N FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147205",
            "telephone_number": "347-881-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 GOETHALS RD N FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147205",
            "telephone_number": "347-881-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANA",
        "middle_name": "SILVIA",
        "credential": "TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "483935101",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mumtaz Jafri, MD
• Bahram Jahanbakhsh, M.D.
• Keyvan Jahanbakhsh, MD
• Agnes G Jaiman, LMHC
• Amar Jain, D.D.S.
• Jyotsna Jain, OD
• Shreya Jain, MD, MBS
• Karolina Jakubiec-Basse
• Claire Vigar Jakubowski, P.T.
• Joseph Jalas, MSED

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.