Individual provider Active NPI

Muhammad A Jaffari, DO

  • Diagnostic Radiology Physician
  • Middletown, NY
National Provider Identifier
1497374086
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS21496 Issued in PA
Practice address
39 Woodlawn Ave
Middletown, NY 10940-3214
Phone
(718) 299-7295
NPI assigned
Apr 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS21496 PA Primary
General Practice Physician 208D00000X 312659 NY
Vascular & Interventional Radiology Physician 2085R0204X 174473 MT
General Practice Physician 208D00000X OS21496 PA
Diagnostic Radiology Physician 2085R0202X 312659 NY
Diagnostic Radiology Physician 2085R0202X 25MB11761200 NJ

Addresses

Primary practice location

39 Woodlawn Ave
Middletown, NY 10940-3214

Mailing address

39 Woodlawn Ave
Middletown, NY 10940-3214
Phone (845) 842-8405

Other practice location 1

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210915002751 NY Practitioner - Diagnostic RadiologyPractitioner - General Practice 4385040476 Reassigns benefits to 7 organizations
I20250818003993 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4385040476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 210-1968

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11761200NJMDDiagnostic Radiology Physician
312659NYMDDiagnostic Radiology Physician
OS21496PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Essen Medical Associates, PC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Apr 28, 2025 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Mar 3, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2021 Accepting new patients
Sra Medical Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Cayuga Medical Associates, PC Internal Medicine CurrentSince Oct 25, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

3737 Market St
Fl 7
Philadelphia, PA 19104

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

2323 Crestmoor Rd
Nashville, TN 37215

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1497374086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WOODLAWN AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403214",
            "telephone_number": "845-842-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WOODLAWN AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403214",
            "telephone_number": "718-299-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFARI",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS21496",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "312659",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "174473",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS21496",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "312659",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB11761200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.