Individual provider Active NPI

Nagaraj Onkarappa Jajoor, MD

  • Psychiatry Physician
  • Amsterdam, NY
National Provider Identifier
1336207422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1714111 Issued in NY
Practice address
427 Guy Park Avenue
St Marys Hospital Behavioral Health
Amsterdam, NY 12010
Phone
(518) 841-7341
Fax
(518) 841-7344
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1714111 NY Primary

Addresses

Primary practice location

427 Guy Park Avenue
St Marys Hospital Behavioral Health
Amsterdam, NY 12010

Mailing address

427 Guy Park Avenue
St Marys Hospital Behavioral Health
Amsterdam, NY 12010
Phone (518) 841-7341

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
I20050913000679 NY Practitioner - Psychiatry 6709819527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

4988 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 841-7341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1714111NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Health Services, Inc. CurrentSince Oct 23, 2011 Accepting new patients
St Marys Healthcare CurrentSince Oct 1, 1983 Accepting new patients
St. Mary's Healthcare CurrentSince Oct 1, 1983 Accepting new patients
St. Mary's Healthcare Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

4988 State Highway 30
Fl 2
Amsterdam, NY 12010
Phone (518) 841-3770

214 State St
Schenectady, NY 12305
Phone (518) 372-1160

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336207422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVENUE",
            "address_2": "ST MARYS HOSPITAL BEHAVIORAL HEALTH",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7341",
            "fax_number": "518-841-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVENUE",
            "address_2": "ST MARYS HOSPITAL BEHAVIORAL HEALTH",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7341",
            "fax_number": "518-841-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJOOR",
        "first_name": "NAGARAJ",
        "middle_name": "ONKARAPPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1714111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.