Active NPI
Jay Iype, M.D.
- Pediatrics Physician
- Medford, NY
National Provider Identifier
1225076722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 231749
- Practice address
- 2799 Route 112
Suite #11
Medford, NY 11763 - Phone
- (631) 732-5222
- Fax
- (631) 732-6222
- NPI assigned
- Jun 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 231749 | NY | Primary |
Addresses
Primary practice location
2799 Route 112
Suite #11
Medford, NY 11763
Mailing address
2799 Route 112
Suite #11
Medford, NY 11763
Phone (631) 732-5222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7662603 | Other | NY | AETNA |
| 6B6671 | Other | NY | EMPIRE BC.BS |
| 02559680 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Pediatrics | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jay.iype.1@29151.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1225076722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 ROUTE 112",
"address_2": "SUITE #11",
"city": "MEDFORD",
"state": "NY",
"postal_code": "11763",
"telephone_number": "631-732-5222",
"fax_number": "631-732-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 ROUTE 112",
"address_2": "SUITE #11",
"city": "MEDFORD",
"state": "NY",
"postal_code": "11763",
"telephone_number": "631-732-5222",
"fax_number": "631-732-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYPE",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "231749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7662603",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "6B6671",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02559680",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.