Sharad Jaitly, M.D.

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

License

163184 Issued in NY

Practice address

13226 Booth Memorial Ave
Flushing, NY 11355-5128

Phone

(718) 463-5874

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfield County Medical Services Inc

  • Specialist
  • Norwalk, CT
  • NPI 1134178577
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1154498277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13226 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13226 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555128",
            "telephone_number": "718-463-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAITLY",
        "first_name": "SHARAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "163184",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "163184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir K Jaffer, MD
• Ailya Batool Jafri
• Dana Jaggessarsingh, MD
• Tina Anjali Jagtiani, DO
• Neeta Jain
• Bluma Jakubovics
• Karen Jakubowicz
• Ainanshe Jama
• James Fang DDS PLLC
• James Sul MD PC

• Nuclear Cardiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Nuclear Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.