Pablo Jaes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

167446 Issued in NY

Practice address

2535 31St Ave
Long Island City, NY 11106-3607

Phone

(718) 274-2600

Fax

(718) 274-5337

NPI assigned

Aug 23, 2006

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: pablo.jaes@queensmedical.ehi.direct-ci.com

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

• For-Med Medical

  dba Astoria Medical Group

  • Legal Medicine
  • Long Island City, NY
  • NPI 1720194012
  NPD (past)
• Liviu Georgescu Medical PC

  • Specialist
  • Rego Park, NY
  • NPI 1487825832
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1184730707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063607",
            "telephone_number": "718-274-2600",
            "fax_number": "718-274-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAES",
        "first_name": "PABLO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "167446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00983064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madamou Jabbie
• Jackson Media Inc
• Jerreyll Travis Jackson, MD
• Jincy Jacob
• Marie Fritza Jacques
• Komal Jaikaran
• Cari R Jaime
• Anmol Sharma Jain, PA-C
• Namrata Jain
• Sachin Jain, M.D., M.P.H.

• Internal Medicine Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.