NPIMap

Individual provider Active NPI

Jyotsna Rajeswary, MD

  • Internal Medicine Physician
  • West Seneca, NY
National Provider Identifier
1639141633
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254377 Issued in NY
Practice address
1026 Union Rd
West Seneca, NY 14224-3445
Phone
(716) 712-0851
Fax
(716) 712-0853
NPI assigned
Feb 3, 2006
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 254377 NY Primary

Addresses

Primary practice location

1026 Union Rd
West Seneca, NY 14224-3445

Mailing address

1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-0851

Other identifiers 1

IdentifierTypeStateIssuer
02613252MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000587 NY Practitioner - Internal Medicine 2365405321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

1014 Delaware Ave
Buffalo, NY 14209-1606
Phone (716) 883-6782

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254377NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Internal Medicine CurrentSince Apr 7, 2020 Accepting new patients
Comprehensive at Williamsville LLC Past Accepting new patients
Exigence Hospitalist Medical Services of Erie County, PLLC Past Accepting new patients
Williamsville Suburban, LLC Past Accepting new patients
Safire Rehabilitation of Southtowns, LLC Past Accepting new patients

Locations

1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616

135 Grant St
Buffalo, NY 14213
Phone (716) 881-4300

200 7th St
Buffalo, NY 14201
Phone (716) 847-2500

300 Dorrance Ave
Buffalo, NY 14220
Phone (716) 566-5252

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000

6970 Erie Rd
Ste A
Derby, NY 14047
Phone (716) 947-9147

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

3595 Eggert Rd
Orchard Park, NY 14127
Phone (716) 662-7114

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1639141633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243445",
            "telephone_number": "716-712-0851",
            "fax_number": "716-712-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243445",
            "telephone_number": "716-712-0851",
            "fax_number": "716-712-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJESWARY",
        "first_name": "JYOTSNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02613252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.