Dr Jayaram MD PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MA37221 Issued in NJ

Legal business name

DR JAYARAM MD PC

Practice address

530 Montgomery St
Jersey City, NJ 07302-3100

Phone

(201) 369-1100

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ajit Jayaram, M.D.

Title

Medical Director

Phone

(201) 369-1100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1295979185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ROCKWOOD PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315028",
            "telephone_number": "201-369-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023100",
            "telephone_number": "201-369-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAYARAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "JAYARAM",
        "authorized_official_first_name": "AJIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-369-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "MA37221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4747402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Downtown Physio LLC
• Doyle Dental
• Maria Rosa Doz Vera, PT
• DPL Chiropractic Center
• Dr Inna Riva Professional Corporation
• Dr John Kims Medical Office PC
• Dr M David Isaak Dental Group
• Dr Mangia Associataes PC
• Dr Mangia Associates PC
• Dr Mayorquin Corporation

• Health Maintenance Organization in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.