Kedarnath Javaly, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

164017-1 Issued in NY

Practice address

2914 Elmwood Ave
Suite 2
Kenmore, NY 14217-1332

Phone

(716) 447-6903

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Buffalo Suburban I.D., Inc.

  • Infectious Disease Physician
  • Kenmore, NY
  • NPI 1235327834
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1376501023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BEECH RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262330",
            "telephone_number": "917-612-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "address_2": "SUITE 2",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-447-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVALY",
        "first_name": "KEDARNATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "164017-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00442452",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01844866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Jakubiak, RPH
• James F Twist MD PC
• James F Twist MD PC
• Jennifer Ann Januchowski, MSOTR/L
• Emily Jarnot
• Christine Jedd
• Tolbert Jefferies, DPT
• Breanne Finucane Jeffrey, RPA-C
• Ebony L Jenkins
• Natalie Rose Jennings, OTR/L

• Infectious Disease Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Infectious Disease Physician in New York

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