Active NPI
Ja Medical P.C.
- Pulmonary Disease Physician
- Huntington, NY
National Provider Identifier
1285224238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- JA MEDICAL P.C.
- Practice address
- 161 E Main St
Huntington, NY 11743-2967 - Phone
- (631) 760-8207
- NPI assigned
- Jan 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jalil Anwar, MD
- Title
- Physician
- Phone
- (631) 760-8207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
161 E Main St
Huntington, NY 11743-2967
Mailing address
4 Savings CT
Greenlawn, NY 11740-2308
Phone (631) 760-8207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2219556 | Ja Medical PC | Certificate of waiver | Apr 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611360000000",
"number": "1285224238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SAVINGS CT",
"city": "GREENLAWN",
"state": "NY",
"postal_code": "117402308",
"telephone_number": "631-760-8207",
"fax_number": "631-549-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432967",
"telephone_number": "631-760-8207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JA MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-23",
"last_updated": "2021-01-23",
"certification_date": "2021-01-23",
"status": "A",
"authorized_official_last_name": "ANWAR",
"authorized_official_first_name": "JALIL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "631-760-8207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.