Active NPI
Imran Jivraj, M.D., FRCSC
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1285188383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 119758
- Practice address
- 3737 Chestnut St
Apt 809
Philadelphia, PA 19104-7702 - Phone
- (215) 917-2072
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 119758 | ZZ | Primary |
Addresses
Primary practice location
3737 Chestnut St
Apt 809
Philadelphia, PA 19104-7702
Mailing address
3737 Chestnut St
Apt 809
Philadelphia, PA 19104-7702
Phone (215) 917-2072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119758 | ZZ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1285188383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 CHESTNUT ST",
"address_2": "APT 809",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191047702",
"telephone_number": "215-917-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 CHESTNUT ST",
"address_2": "APT 809",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191047702",
"telephone_number": "215-917-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIVRAJ",
"first_name": "IMRAN",
"name_prefix": "Dr.",
"credential": "M.D., FRCSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ZZ",
"license": "119758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.