Jayanta Narayan Roychowdhury, BA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3747 76 TH St
Jacksonheights, NY 11372-6533

Phone

(347) 421-9090

NPI assigned

Jan 30, 2014

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2014.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1588087258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "347-421-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 76 TH ST",
            "city": "JACKSONHEIGHTS",
            "state": "NY",
            "postal_code": "113726533",
            "telephone_number": "347-421-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCHOWDHURY",
        "first_name": "JAYANTA",
        "middle_name": "NARAYAN",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RK 35008H 600486 235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.