Active NPI
David H Jaffe, MD
- Anesthesiology Physician
- Chautauqua, NY
National Provider Identifier
1083632228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 313899
- Practice address
- 1 Irving PL
Chautauqua, NY 14722-2522 - Phone
- (203) 368-8036
- NPI assigned
- Jul 17, 2006
- Last updated
- May 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 313899 | NY | Primary |
Addresses
Primary practice location
1 Irving PL
Chautauqua, NY 14722-2522
Mailing address
100 Gibbon St
Alexandria, VA 22314-3836
Phone (203) 368-8036
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060855634003 | Other | CT | CIGNA CT |
| 500HBA011CT01 | Other | CO | BCBS CT |
| A770995 | Other | CT | OXFORD HEALTH PLANS |
| 95012 | Other | CT | HEALTH NET |
| P00126836 | Other | CT | RAILROAD MEDICARE |
| 755806 | Other | CT | CONNECTICARE |
| 4495952 | Other | CT | AETNA CT |
| CHN858 | Other | CT | COMMUNITY HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313899 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1083632228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GIBBON ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143836",
"telephone_number": "203-368-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 IRVING PL",
"city": "CHAUTAUQUA",
"state": "NY",
"postal_code": "147222522",
"telephone_number": "203-368-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "DAVID",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "313899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA CT",
"identifier": "060855634003",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CT",
"identifier": "500HBA011CT01",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "A770995",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "95012",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00126836",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "755806",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CT",
"identifier": "4495952",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "CHN858",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chautauqua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.