Active NPI
Jai K Jalaj MD PC
- Pulmonary Disease Physician
- Wappingers Falls, NY
National Provider Identifier
1144464280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 166168
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0722837 | Jai K Jalaj MD PC | Certificate of waiver | May 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Fishkill, NY
- NPI 1972537868
-
- Pulmonary Disease Physician
- Wappingers Falls, NY
- NPI 1295745784
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.