Individual provider Active NPI

Randa Jaafar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1619126208
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
261144 Issued in NY
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

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03488497MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121010000077 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 0446438840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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

LicenseStateTypeSpecialty
207L00000XOHMDAnesthesiology Physician
35-092622OHMDAnesthesiology Physician
261144NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Resource Medicine, PLLC CurrentSince Mar 21, 2016 Accepting new patients
Randa Jaafar MD,PC CurrentSince Apr 20, 2022 Accepting new patients
Pain Medicine PC Current Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Aug 30, 2024 Accepting new patients
Igor Amigud Physician P.C. CurrentSince Mar 20, 2018 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.

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

Verify at the official NPI Registry.