Active NPI
Randa Jaafar, M.D.
- Pain Medicine (Anesthesiology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 261144
- Practice address
- 250 E 49TH St Apt 17a
New York, NY 10017-1580 - Phone
- (313) 204-8040
- NPI assigned
- Sep 18, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 207L00000X | OH | |
| Anesthesiology Physician | 207L00000X | 35-092622 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 261144 | NY | Primary |
Addresses
Primary practice location
250 E 49TH St Apt 17a
New York, NY 10017-1580
Mailing address
250 E 49TH St Apt 17a
New York, NY 10017-1580
Phone (313) 204-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03488497 | 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
- Pain Management
- Education
- Wayne State University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
340 E 49TH St Ground FL
New York, NY 10017-1645
Phone (646) 876-5566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207L00000X | OH | MD | Anesthesiology Physician |
| 35-092622 | OH | MD | Anesthesiology Physician |
| 261144 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Resource Medicine, PLLC | Current | Accepting new patients | |
| Randa Jaafar MD,PC | Current | Accepting new patients | |
| Pain Medicine PC | Current | Accepting new patients | |
| Centurion Midtown Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Igor Amigud Physician P.C. | Current | Accepting new patients | |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients |
Locations
1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727
2008 Eastchester Rd
#B
Bronx, NY 10461
Phone (718) 794-0600
2008 Eastchester Rd
Ste B
Bronx, NY 10461
2008 Eastchester Rd
Ste A
Bronx, NY 10461
Phone (718) 794-0600
2008 Eastchester Rd
#A
Bronx, NY 10461
Phone (718) 794-0600
340 E 49th St
New York, NY 10017
Phone (212) 750-2444
Organizations & group practices 6
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.
-
- Pain Medicine Physician
- New York, NY
- NPI 1023523198
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Specialist
- New York, NY
- NPI 1245337989
-
- Pain Medicine Physician
- Garden City, NY
- NPI 1184467482
-
- Specialist
- Bronx, NY
- NPI 1821488529
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1619126208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E 49TH ST APT 17A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171580",
"telephone_number": "313-204-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E 49TH ST APT 17A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100171580",
"telephone_number": "313-204-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAAFAR",
"first_name": "RANDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "207L00000X",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-092622",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "261144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03488497",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.