NPIMap

Individual provider Active NPI

Jayant J Jhaveri, MD

  • Internal Medicine Physician
  • Massena, NY
National Provider Identifier
1740240282
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
176155 Issued in NY
Practice address
267 Andrews St
St. Lawrence Internists
Massena, NY 13662-3401
Phone
(315) 764-0221
Fax
(315) 764-1395
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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 176155 NY Primary

Addresses

Primary practice location

267 Andrews St
St. Lawrence Internists
Massena, NY 13662-3401

Mailing address

267 Andrews St
St. Lawrence Internists
Massena, NY 13662-3401
Phone (315) 764-0221

Other identifiers 1

IdentifierTypeStateIssuer
01096455MedicaidNY

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
I20041111000922 NY Practitioner - Internal Medicine 0345203121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massena Hospital IncGroup PAC ID 1456781491, 45 clinicians

Practice addresses (Care Compare)

271 Andrews St
Suite 267
Massena, NY 13662-3401
Phone (315) 764-0221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176155NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massena Hospital, Inc CurrentSince Jan 5, 2020 Accepting new patients
Marnc Operating LLC Past Accepting new patients
Highland Nursing Home, Inc. Past Accepting new patients

Locations

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

271 Andrews St
Ste 267
Massena, NY 13662
Phone (315) 764-0221

Interoperability endpoints

  • Direct secure messaging: jjhaveri338562@direct.rochesterregional.org
  • Direct secure messaging: jjhaveri@hiemail.healtheconnections.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1740240282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 ANDREWS ST",
            "address_2": "ST. LAWRENCE INTERNISTS",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623401",
            "telephone_number": "315-764-0221",
            "fax_number": "315-764-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 ANDREWS ST",
            "address_2": "ST. LAWRENCE INTERNISTS",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623401",
            "telephone_number": "315-764-0221",
            "fax_number": "315-764-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "JAYANT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01096455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.