Individual provider Active NPI

Shashi B Jhamb, M.D.

  • Internal Medicine Physician
  • Islip, NY
National Provider Identifier
1346267218
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
129291 Issued in NY
Practice address
375 Main St
Islip, NY 11751-3521
Phone
(631) 277-0591
Fax
(631) 859-0052
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 129291 NY Primary

Addresses

Primary practice location

375 Main St
Islip, NY 11751-3521

Mailing address

375 Main St
Islip, NY 11751-3521
Phone (631) 277-0591

Other identifiers 1

IdentifierTypeStateIssuer
00806299MedicaidNY

Other names 1

  • Shashi Bala Jhamb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1346267218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513521",
            "telephone_number": "631-277-0591",
            "fax_number": "631-859-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513521",
            "telephone_number": "631-277-0591",
            "fax_number": "631-859-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAMB",
        "first_name": "SHASHI",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "129291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASHI",
            "last_name": "JHAMB",
            "middle_name": "BALA",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.