NPIMap

Individual provider Active NPI

Jack Janani, M.D.

  • Hospitalist Physician
  • Brooklyn, NY
National Provider Identifier
1285047092
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
294053 Issued in NY
Practice address
3201 Kings Hwy
Brooklyn, NY 11234
Phone
(718) 252-3000
NPI assigned
Jun 9, 2014
Last updated
Nov 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD464230 PA
Hospitalist Physician 208M00000X 294053 NY Primary

Addresses

Primary practice location

3201 Kings Hwy
Brooklyn, NY 11234

Mailing address

3201 Kings Hwy
Brooklyn, NY 11234-2625

Other practice location 1

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

Other practice location 2

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-6400

Other practice location 3

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117002044 NY Practitioner - Internal Medicine 0042432486 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

3457 Nostrand Ave
Brooklyn, NY 11229-5131
Phone (718) 535-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD464230PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Hospitalist CurrentSince Apr 23, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Shore Medical PC CurrentSince Jul 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 18, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 18, 2018 Accepting new patients
Ocean Blue Medical PC CurrentSince Oct 13, 2020 Accepting new patients
Cogent Medical Care PC Hospitalist CurrentSince Jan 13, 2019 Accepting new patients
Diamond Medical Associates PC CurrentSince Apr 21, 2020 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
New York Community Hospital of Brooklyn Inc Past Accepting new patients
CNH Operating LLC Past Accepting new patients
FSNR SNF LLC Past Accepting new patients

Locations

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

170 Buffalo Ave
Brooklyn, NY 11213
Phone (718) 221-3000

2044 Ocean Ave
Ste A9
Brooklyn, NY 11230
Phone (347) 374-4032

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

440 Avenue U
Brooklyn, NY 11223
Phone (718) 627-8700

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

300 Community Dr
Manhasset, NY 11030

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Networks

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

Interoperability endpoints

  • Direct secure messaging: jackjanani@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Chateau at Brooklyn Rehabilitation and Nursing CenterBrooklyn, NY, CCN 335290 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1285047092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-252-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11234",
            "country_code": "US",
            "telephone_number": "718-252-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914515",
            "country_code": "US",
            "telephone_number": "516-496-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANANI",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD464230",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "294053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.