Priti Jain, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

235381 Issued in NY

Practice address

232 W Old Country Rd
Hicksville, NY 11801-4011

Phone

(516) 938-1550

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: priti.jain@suwmc.eclinicaldirectplus.com

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.

• Hicksville Family Medical Care, PLLC

  dba Nao Medical

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Statcare Urgent & Walk in Medical Care PLLC

  dba Nao Medical

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  Medicare reassignment NPD Authorized official
• Gentle Touch Medical PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1437567690
  Medicare reassignment NPD
• JPR Urgent Medical Care

  dba Statcare

  • Urgent Care Clinic/Center
  • Hicksville, NY
  • NPI 1114172848
  NPD (past) Authorized official
• Our Lady of Mercy Medical Center

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1669412847
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1780607333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015009",
            "telephone_number": "516-938-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014011",
            "telephone_number": "516-938-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118015009",
            "country_code": "US",
            "telephone_number": "516-938-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "PRITI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Jacob, MD
• Melody Jacobs
• Jeffrey Jacome
• Alexa Jacovetti
• Sonali Jaggi, OTR/L
• Sandeep Jain, MD
• Amanda Ann Jakubiak
• James M. Maisel, M.D., P.L.L.C. (Retina Group of New York)
• Jainy James
• Jeana M James

• Internal Medicine Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.

Verify at the official NPI Registry.