Active NPI
Jasjit K Pawha, M.D.
- Internal Medicine Physician
- Glendale, NY
National Provider Identifier
1356465363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 151062
- Practice address
- 7844 81St St
Glendale, NY 11385-7633 - Phone
- (718) 657-9700
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 151062 | NY | Primary |
Addresses
Primary practice location
7844 81St St
Glendale, NY 11385-7633
Mailing address
172 Murray Dr
Oceanside, NY 11572-5724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00826022 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151062 | NY | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Glendale, NY
- NPI 1205144847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356465363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 MURRAY DR",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7844 81ST ST",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857633",
"telephone_number": "718-657-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWHA",
"first_name": "JASJIT",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "151062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00826022",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.