Jaya Bajaj, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200801331 Issued in NC

Practice address

2066 NC Highway 125
Roanoke Rapids, NC 27870-9436

Phone

(252) 536-5440

Fax

(252) 536-5444

NPI assigned

Sep 5, 2007

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1386838159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709436",
            "telephone_number": "252-536-5440",
            "fax_number": "252-536-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709436",
            "telephone_number": "252-536-5440",
            "fax_number": "252-536-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "JAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200801331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910524",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Fenner Outreach Center LLC (Arthur Fenner Outreach Center)
• William Todd Arthur, D.D.S.
• Joy Atufunwa
• Fiona Okwuchi Azubuike, M.D.
• Lawkpezi Abide Bagnabana
• Karen R Ballou, MD
• Nicholas Banks, QMHP
• Martha Lauren Barnes, RD
• Barbara Doyle Barrett, WHNP
• Joseph Robert Barrett III, PHARMD

• Family Medicine Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.