Jayesh J Kinariwala, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

9600972 Issued in NC

Practice address

1141 N Road St
Suite M
Elizabeth City, NC 27909-3354

Phone

(252) 338-2155

Fax

(252) 338-7704

NPI assigned

Mar 31, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245291004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "address_2": "SUITE M",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "address_2": "SUITE M",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARIWALA",
        "first_name": "JAYESH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9600972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D Kent, MD
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• Stephanie Marie Kerline, PHARMD
• Ameer Hazma Khan
• Kids First, Inc. Child Advocacy Center
• Kindred Nursing Centers East, L.L.C. (Kindred Transitional Care and Rehabilitation-Elizabeth City)
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• Debracca King, FNP-C
• Kathryn Jones King, MD

• Specialist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.