Manoj Jain, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

059076 Issued in NY

Practice address

819 S Salina St
Syracuse, NY 13202-3527

Phone

(315) 476-7921

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Country Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lowville, NY
  • NPI 1235928177
  NPD (past)
• North Country Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Evans Mills, NY
  • NPI 1578352415
  NPD (past)
• North Country Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Watertown, NY
  • NPI 1609946821
  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1750764692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023527",
            "telephone_number": "315-476-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023527",
            "telephone_number": "315-476-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huda Jaffar
• Janet E. Jaffe, PH.D.
• Kasim Syed Jafri
• Abtin Jafroodifar, MD
• Ajay Jain, M.D.
• Pratik Jain, MBBS
• Chelsea Genevieve Jakaub
• Muhammad Safwan Jalal, MD
• Sumeen Jalees
• Kiabeh Jallah

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.