Individual provider Active NPI

Narinder Jit, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1417538703
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026537 Issued in NY
Practice address
100 Livingston St Ste 2
Brooklyn, NY 11201-5023
Phone
(877) 266-7362
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026537 NY Primary

Addresses

Primary practice location

100 Livingston St Ste 2
Brooklyn, NY 11201-5023

Mailing address

122 Warrior LN
Clinton, MS 39056-3153
Phone (601) 398-8150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address help@parkavetrauma.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
026537NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1417538703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WARRIOR LN",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563153",
            "telephone_number": "601-398-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015023",
            "telephone_number": "877-266-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIT",
        "first_name": "NARINDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "help@parkavetrauma.com",
            "affiliation": "N",
            "address_1": "100 Livingston St Ste 2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112015023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.