Organization Active NPI

Jain Medical PC

  • Interventional Cardiology Physician
  • Yonkers, NY
National Provider Identifier
1619530268
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
JAIN MEDICAL PC
Practice address
944 N Broadway Ste 106
Yonkers, NY 10701-1315
Phone
(917) 942-8825
Fax
(917) 979-8170
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Dr. Sachin Kumar Amruthlal Jain, MDNPI 1134384951
Title
President
Phone
(248) 961-1758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

944 N Broadway Ste 106
Yonkers, NY 10701-1315

Mailing address

401 E 80TH St Apt 26a
New York, NY 10075-0653
Phone (248) 961-1758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002192 NY Part B Supplier - Clinic/Group Practice 8921334574 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Jefferson Valley, NY; Yonkers, NY

National Provider Directory

National Provider Directory

Locations

3201 Grand Concourse
Ofc 2N
Bronx, NY 10468

944 N Broadway
Ste 106
Yonkers, NY 10701
Phone (914) 920-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1619530268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 80TH ST APT 26A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750653",
            "telephone_number": "248-961-1758",
            "fax_number": "917-979-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 106",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011315",
            "telephone_number": "917-942-8825",
            "fax_number": "917-979-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "AMRUTHLAL JAIN",
        "authorized_official_first_name": "SACHIN KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-961-1758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.