Individual provider Active NPI

Jaishree Subramani, M.D,M.P.H

  • Internal Medicine Physician
  • West Islip, NY
National Provider Identifier
1063501104
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185411 Issued in NY
Practice address
500 M0Ntauk Highway
Suite B
West Islip, NY 11795-1201
Phone
(631) 422-4343
Fax
(631) 661-3775
NPI assigned
Oct 12, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 185411 NY Primary

Addresses

Primary practice location

500 M0Ntauk Highway
Suite B
West Islip, NY 11795-1201

Mailing address

500 M0Ntauk Highway
Suite B
West Islip, NY 11795-1201
Phone (631) 422-4343

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
I20051019001063 NY Practitioner - Internal MedicinePractitioner - Preventive Medicine 5092731943 Practice locations: West Islip, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Montauk Hwy
Suite B
West Islip, NY 11795-4419
Phone (631) 422-4343

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1063501104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 M0NTAUK HIGHWAY",
            "address_2": "SUITE B",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951201",
            "telephone_number": "631-422-4343",
            "fax_number": "516-626-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 M0NTAUK HIGHWAY",
            "address_2": "SUITE B",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951201",
            "telephone_number": "631-422-4343",
            "fax_number": "631-661-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANI",
        "first_name": "JAISHREE",
        "credential": "M.D,M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.