Individual provider Active NPI

Jaya Bajaj

  • Anatomic Pathology & Clinical Pathology Physician
  • Glen Oaks, NY
National Provider Identifier
1578853495
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
259496 Issued in NY
Practice address
7412 263Rd St
Apt 2
Glen Oaks, NY 11004-1113
Phone
(516) 474-5009
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 259496 NY Primary

Addresses

Primary practice location

7412 263Rd St
Apt 2
Glen Oaks, NY 11004-1113

Mailing address

7412 263Rd St
Apt 2
Glen Oaks, NY 11004-1113
Phone (516) 474-5009

Other names 1

  • Jaya Mahajan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002327 TX Practitioner - Pathology 7810206034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathologists Bio-Medical Laboratories PLLCGroup PAC ID 7911961677, 54 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Wadley Tower Suite 261
Dallas, TX 75246-1902

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-1000

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259496NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Bio-Medical Laboratories PLLC CurrentSince Aug 19, 2015 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 19, 2015 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Pathologists Biomedical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

4708 Alliance Blvd
Ste 870
Plano, TX 75093
Phone (469) 361-2511

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2460 N Interstate Highway 35 E
Ste 230
Waxahachie, TX 75165
Phone (469) 764-4105

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1578853495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 263RD ST",
            "address_2": "APT 2",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041113",
            "telephone_number": "516-474-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 263RD ST",
            "address_2": "APT 2",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041113",
            "telephone_number": "516-474-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "JAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "259496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYA",
            "last_name": "MAHAJAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

Verify at the official NPI Registry.