Individual provider Active NPI

Jamilur Reja

  • Internal Medicine Physician
  • Oyster Bay, NY
National Provider Identifier
1265053615
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
327030 Issued in NY
Practice address
275 South St
Oyster Bay, NY 11771-2911
Phone
(516) 226-1383
Fax
(516) 226-1384
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 327030 NY Primary

Addresses

Primary practice location

275 South St
Oyster Bay, NY 11771-2911

Mailing address

275 South St
Oyster Bay, NY 11771-2911
Phone (516) 226-1383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002309 NY Practitioner - Internal Medicine 6305282526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10 Medical Plaza
Glen Cove, NY 11542-2101
Phone (516) 674-0500

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
327030NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince Mar 15, 2024 Accepting new patients

Locations

4 Medical Plz
Glen Cove, NY 11542
Phone (516) 674-0500

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

275 South St
Oyster Bay, NY 11771
Phone (516) 226-1383

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jamilurreja@nslijmedgr.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1265053615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712911",
            "telephone_number": "516-226-1383",
            "fax_number": "516-226-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712911",
            "telephone_number": "516-226-1383",
            "fax_number": "516-226-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJA",
        "first_name": "JAMILUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "327030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.