Active NPI
Sanjay Kumar Jaiswal, M.D.
- Hospitalist Physician
- Derby, CT
National Provider Identifier
1184319790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 36439
- Practice address
- Griffin Hospital Department of Medical Education
130 Division Street Residency Co-Ordinator Office
Derby, CT 06418 - Phone
- (203) 732-7327
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 36439 | WV | Primary |
Addresses
Primary practice location
Griffin Hospital Department of Medical Education
130 Division Street Residency Co-Ordinator Office
Derby, CT 06418
Mailing address
Griffin Hospital Department of Medical Education
130 Division Street Residency Co-Ordinator Office
Derby, CT 06418
Phone (203) 732-7327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6300
PO Box
Pittsburgh, PA 15264
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": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1184319790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GRIFFIN HOSPITAL DEPARTMENT OF MEDICAL EDUCATION",
"address_2": "130 DIVISION STREET RESIDENCY CO-ORDINATOR OFFICE",
"city": "DERBY",
"state": "CT",
"postal_code": "06418",
"telephone_number": "203-732-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRIFFIN HOSPITAL DEPARTMENT OF MEDICAL EDUCATION",
"address_2": "130 DIVISION STREET RESIDENCY CO-ORDINATOR OFFICE",
"city": "DERBY",
"state": "CT",
"postal_code": "06418",
"telephone_number": "203-732-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAISWAL",
"first_name": "SANJAY",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "36439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.