Organization Active NPI

Jai K Jalaj MD PC

  • Pulmonary Disease Physician
  • Wappingers Falls, NY
National Provider Identifier
1144464280
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
166168 Issued in NY
Legal business name
JAI K JALAJ MD PC
Practice address
66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098
Phone
(845) 897-3210
Fax
(845) 897-3290
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Mrs. Shannon Gauzza
Title
Office Coordinator
Phone
(845) 897-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 166168 NY Primary

Addresses

Primary practice location

66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098

Mailing address

66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098
Phone (845) 897-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090518000032 NY Part B Supplier - Clinic/Group Practice 3678622917 Receives reassigned benefits from 2 practitioners
Practice locations: Wappingers Falls, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0722837Jai K Jalaj MD PC66 Middlebush Road, Suite M-206, Wappingers Falls, NY 12590Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Locations

831 Route 52
Ste 2A
Fishkill, NY 12524
Phone (845) 838-2240

66 Middlebush Rd
Ste M206
Wappingers Fl, NY 12590
Phone (845) 897-3210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1144464280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE M206",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-897-3210",
            "fax_number": "845-897-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE M206",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-897-3210",
            "fax_number": "845-897-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI K JALAJ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "GAUZZA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "845-897-3210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "166168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.