Jaswant S Jadeja, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME 42155 Issued in FL

Practice address

5742 Booth Rd
Jacksonville, FL 32207-5905

Phone

(904) 739-7779

Fax

(904) 739-7771

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrated Community Oncology Network LLC

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1306841622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9143 PHILIPS HWY",
            "address_2": "STE 560",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561369",
            "telephone_number": "904-363-2113",
            "fax_number": "904-363-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 BOOTH RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075905",
            "telephone_number": "904-739-7779",
            "fax_number": "904-739-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADEJA",
        "first_name": "JASWANT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 42155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15184",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa H. Jacquet, ARNP
• Alana Jada, MD
• Johnny N Jada, MD
• Amair Ayman Jadallah
• Jade Greene Bcba LLC
• Sonal Jadeja
• Jades Caring Hands LLC
• Kristina Marsh Jadlocki, PA-C
• Suheir Jahjah Jadon, PHARM.D
• Kurt Alfred Jaeckle, M.D.

• Hematology & Oncology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.