Jahanara Reza MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAHANARA REZA MD PC

Practice address

67 E Main St
Washingtonville, NY 10992-1212

Phone

(845) 496-8466

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Jahanara Reza, MDNPI 1447584222

Title

MD

Phone

(845) 738-8770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jahanara Jahan Ara Reza, MD

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1447584222
  Medicare reassignment NPD Authorized official
• Fauzia Paracha, MD

  • Hematology & Oncology Physician
  • Newburgh, NY
  • NPI 1174639751
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1265978613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 E MAIN ST",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921212",
            "telephone_number": "845-496-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E MAIN ST",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921212",
            "telephone_number": "845-496-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHANARA REZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "REZA",
        "authorized_official_first_name": "JAHANARA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-738-8770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharifa H Grant
• Ira Green, RPH
• Lavita S Grubbs
• Delisa Ashley Harper
• Mohammed Zafar Iqbal, RPH
• Jilly'S Place
• Jillys Place Inc
• Samourra Rivienne Joseph, PHARMD
• Suzanne Kaseta, M.D.
• Arthur D Klein, DO

• Internal Medicine Physician in Washingtonville, NY
• Providers in Washingtonville, 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 Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.