Active NPI
Ankit Jain, MD
- Psychiatry Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD469594
- Practice address
- 2501 N 3Rd St
Harrisburg, PA 17110-1904 - Phone
- (717) 782-6420
- Fax
- (717) 782-4727
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 301400 | NY | |
| Psychiatry Physician | 2084P0800X | 25MA11946900 | NJ | |
| Psychiatry Physician | 2084P0800X | MD469594 | PA | Primary |
Addresses
Primary practice location
2501 N 3Rd St
Harrisburg, PA 17110-1904
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other practice location 1
401 Division St
Harrisburg, PA 17110-2098
Phone (717) 782-4349
Other practice location 2
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037719560001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajain175350@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7160
Hospital & facility affiliations
- Jamaica Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11946900 | NJ | MD | Psychiatry Physician |
| 301400 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Psychiatric Services, PC | Current | Accepting new patients | |
| Pennsylvania Psychiatric Institute | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Pennsylvania Psychiatric Institute | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Jamaica Hospital | Past | Accepting new patients |
Locations
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
401 Division St
Harrisburg, PA 17110
Phone (717) 782-4349
2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ajain677139@nychhc.direct-ci.com
- ajain91359@direct.medisys.org
- ankitjain@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- Jamaica, NY
- NPI 1427005065
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Methadone Clinic
- Harrisburg, PA
- NPI 1245760743
-
- Psychologist
- Harrisburg, PA
- NPI 1881829976
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1679958557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101904",
"telephone_number": "717-782-6420",
"fax_number": "717-782-4727"
}
],
"practiceLocations": [
{
"address_1": "401 Division St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171102098",
"country_code": "US",
"telephone_number": "717-782-4349",
"fax_number": "717-782-6518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "ANKIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "301400",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA11946900",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD469594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037719560001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajain175350@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "2501 N 3rd St",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171101904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.