Active NPI
Jennifer Whalen Hayes, MD
- Family Medicine Physician
- Corinth, NY
National Provider Identifier
1457349490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 187311
- Practice address
- 200 Smith Drive
Corinth, NY 12822-1314 - Phone
- (518) 654-7680
- Fax
- (518) 654-7695
- NPI assigned
- Oct 13, 2005
- Last updated
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 187311 | NY | Primary |
Addresses
Primary practice location
200 Smith Drive
Corinth, NY 12822-1314
Mailing address
200 Smith Drive
Corinth, NY 12822-1314
Phone (518) 654-7680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00010319 | Other | NY | RR MEDICARE |
| 01700898 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1050 Forest Hill Rd
Staten Island, NY 10314-6356
Phone (718) 494-5313
200 Smith Dr
Corinth, NY 12822-1341
Phone (518) 654-7680
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
200 Smith Dr
Corinth, NY 12822
Phone (518) 654-7680
1050 Forest Hill Rd
Staten Island, NY 10314
Phone (718) 494-5141
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Developmental Disabilities Clinic/Center
- East Syracuse, NY
- NPI 1114067915
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
-
dba Schuylerville Family Health
- Primary Care Clinic/Center
- Schuylerville, NY
- NPI 1568707289
Hospital
-
dba Galway Family Health
- Primary Care Clinic/Center
- Galway, NY
- NPI 1649515214
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1457349490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SMITH DRIVE",
"city": "CORINTH",
"state": "NY",
"postal_code": "128221314",
"telephone_number": "518-654-7680",
"fax_number": "518-654-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SMITH DRIVE",
"city": "CORINTH",
"state": "NY",
"postal_code": "128221314",
"telephone_number": "518-654-7680",
"fax_number": "518-654-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JENNIFER",
"middle_name": "WHALEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "187311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00010319",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01700898",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corinth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.