Jayaraj S Kumar, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

123553 Issued in NY

Practice address

30 Pine Cone LN
Islandia, NY 11749-5512

Phone

(631) 348-7552

NPI assigned

Dec 18, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1235475377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PINE CONE LN",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495512",
            "telephone_number": "631-348-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PINE CONE LN",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495512",
            "telephone_number": "631-348-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "JAYARAJ",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "123553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitsu A Kee, M.D.
• Kristin Marie Kelly, ANP-C
• Alexia Komitopoulos
• Salima Koubek, FNP
• Isabelle Kovacs
• Jacob Kurian, MS,PT
• Marissa Ann Labarbera
• Cossette Lacy, PT
• Allison Leigh Lasner, M.D.
• Janet Ellen Lavelle, LCSW

• General Practice Physician in Islandia, NY
• Providers in Islandia, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.