Active NPI
Jila Nabi, M.D.
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1144533894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 450 Clarkson Avenue, Box 1262
Brooklyn, NY 11203 - Phone
- (718) 270-8867
- NPI assigned
- Jul 23, 2010
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2010019782 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
450 Clarkson Avenue, Box 1262
Brooklyn, NY 11203
Mailing address
450 Clarkson Avenue, Box 1262
Department Suny Downstate Medical Center
Brooklyn, NY 11203
Phone (718) 270-8867
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010019782 | MO | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1144533894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVENUE, BOX 1262",
"address_2": "DEPARTMENT SUNY DOWNSTATE MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVENUE, BOX 1262",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABI",
"first_name": "JILA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2010019782",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.