Organization Active NPI

Qli Hospitalist Services, P.C.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1780092882
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QLI HOSPITALIST SERVICES, P.C.
Practice address
4204 White Plains Rd
Bronx, NY 10466-3014
Phone
(347) 778-5188
Fax
(347) 778-5049
NPI assigned
Aug 1, 2014
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Ajay Jain, MD
Title
Authorized Official
Phone
(917) 685-5553

Specialties & licenses 1

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

Addresses

Primary practice location

4204 White Plains Rd
Bronx, NY 10466-3014

Mailing address

4204 White Plains Rd
Bronx, NY 10466-3014
Phone (347) 778-5220

Other identifiers 1

IdentifierTypeStateIssuer
04193422MedicaidNY

National Provider Directory

National Provider Directory

Locations

4204 White Plains Rd
Bronx, NY 10466
Phone (347) 778-5188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1780092882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663014",
            "telephone_number": "347-778-5220",
            "fax_number": "347-778-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663014",
            "telephone_number": "347-778-5188",
            "fax_number": "347-778-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLI HOSPITALIST SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-685-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04193422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.