Active NPI
Ajay Jalwan, MD
- Psychiatry Physician
- Queens Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 259719
- Practice address
- 7925 Winchester Blvd
Queens Village, NY 11427-2128 - Phone
- (718) 264-4000
- NPI assigned
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 259719 | NY | Primary |
Addresses
Primary practice location
7925 Winchester Blvd
Queens Village, NY 11427-2128
Mailing address
7925 Winchester Blvd
Queens Village, NY 11427-2128
Other practice location 1
1300 Union Tpke Ste 304
New Hyde Park, NY 11040-1759
Phone (516) 548-1230
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
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1300 Union Tpke
Suite 304
New Hyde Park, NY 11040-1759
Phone (516) 548-1230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259719 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bleuler Psychotherapy Center, Inc. | Current | Accepting new patients | |
| Sunshine Psychiatric Service PC | Psychiatry | Current | Accepting new patients |
Locations
10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913
1300 Union Tpke
Ste 304
North New Hyde Park, NY 11040
Phone (516) 488-3716
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bleulerpc/r4/
Organizations & group practices 2
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.
-
- Psychiatry Physician
- New Hyde Park, NY
- NPI 1902686926
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Forest Hills, NY
- NPI 1801949706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772323200000",
"number": "1649573403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 WINCHESTER BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 WINCHESTER BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272128",
"telephone_number": "718-264-4000"
}
],
"practiceLocations": [
{
"address_1": "1300 Union Tpke Ste 304",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401759",
"country_code": "US",
"telephone_number": "516-548-1230",
"fax_number": "516-701-0140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JALWAN",
"first_name": "AJAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2026-03-01",
"certification_date": "2026-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "259719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.