Active NPI
Minou Absy-Jaghab, M.D.
- Infectious Disease Physician
- Bronx, NY
National Provider Identifier
1093750341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 128865
- Practice address
- 250 Grand Concourse
Bronx, NY 10451-5430 - Phone
- (917) 645-0258
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 128865 | NY | |
| Infectious Disease Physician | 207RI0200X | 128865 | NY | Primary |
Addresses
Primary practice location
250 Grand Concourse
Bronx, NY 10451-5430
Mailing address
2201 Hemsptead Tpke
East Meadow, NY 11554
Phone (516) 572-3924
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113465690 | Other | NY | ETIN 113465690 |
| 2154315 | Other | NY | UNITED EMPIRE |
| 4318302 | Other | NY | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1093750341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 HEMSPTEAD TPKE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-572-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515430",
"telephone_number": "917-645-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABSY-JAGHAB",
"first_name": "MINOU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "128865",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "128865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETIN 113465690",
"identifier": "113465690",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED EMPIRE",
"identifier": "2154315",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4318302",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.