Individual provider Active NPI

Jai K Jalaj, MD

  • Pulmonary Disease Physician
  • Wappingers Falls, NY
National Provider Identifier
1295745784
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
166168 Issued in NY
Practice address
66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098
Phone
(845) 897-3210
Fax
(845) 897-3290
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 166168 NY Primary

Addresses

Primary practice location

66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098

Mailing address

66 Middlebush Rd
Suite M206
Wappingers Falls, NY 12590-4098
Phone (845) 897-3210

Other identifiers 1

IdentifierTypeStateIssuer
01071310MedicaidNY

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
I20050817001114 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9739119876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
14 Street Medical PCGroup PAC ID 6204122088, 16 clinicians
Jai K Jalaj MD PCGroup PAC ID 3678622917, 2 clinicians

Practice addresses (Care Compare)

332 E 14TH St
New York, NY 10003-4243
Phone (212) 481-3333

66 Middlebush Rd
M206
Wappingers Falls, NY 12590-4047
Phone (845) 897-3210

912 Columbus Ave
New York, NY 10025-4040
Phone (212) 481-3333

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score
22.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.04

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as group
Quality
59.43
Improvement activities
40
Cost
72.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jai K Jalaj MD PC Pulmonary Disease CurrentSince May 20, 1986 Accepting new patients
14 Street Medical, PC CurrentSince Aug 6, 2021 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

831 Route 52
Ste 2A
Fishkill, NY 12524
Phone (845) 838-2240

912 Columbus Ave
New York, NY 10025
Phone (212) 481-3333

500 E 14th St
New York, NY 10009
Phone (212) 481-3333

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

66 Middlebush Rd
Ste M206
Wappingers Fl, NY 12590
Phone (845) 897-3210

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jai.jalaj.1@13555.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1295745784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE M206",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-897-3210",
            "fax_number": "845-897-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "address_2": "SUITE M206",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-897-3210",
            "fax_number": "845-897-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAJ",
        "first_name": "JAI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "166168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01071310",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.