Active NPI
Alan H. Jaffe, MD
- Gastroenterology Physician
- White Plains, NY
National Provider Identifier
1801875646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 126015
- Practice address
- 210 Westchester Ave
White Plains, NY 10604-2901 - Phone
- (914) 682-6466
- Fax
- (914) 682-6403
- NPI assigned
- Jan 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 126015 | NY | Primary |
| Gastroenterology Physician | 207RG0100X | 039077 | CT |
Addresses
Primary practice location
210 Westchester Ave
White Plains, NY 10604-2901
Mailing address
210 Westchester Ave
3Rd Floor
White Plains, NY 10604-2901
Phone (914) 681-3146
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133884168 | Other | NY | GHI PPO |
| 12A512/12A513 | Other | NY | BLUE CROSS PPO |
| 133884168 | Other | NY | EMPIRE STATE PLAN (NYS) |
| 384715-IM | Other | NY | OXFORD |
| 110219501 | Other | NY | RAILROAD MEDICARE |
| 4973373-016 | Other | NY | CIGNA |
| 000000045836 | Other | NY | GHI HMO |
| 126015 | Other | NY | CONNECTICARE |
| 133884168 | Other | NY | HIP |
| 0D1951/3C1307 | Other | NY | HEALTH NET |
| 133884168 | Other | NY | MULTIPLAN |
| 4415181 | Other | NY | AETNA NON HMO |
| 2222721 | Other | NY | AETNA HMO |
| 1535974 | Other | NY | UNITED HEALTH CARE |
| 00492342 | Medicaid | NY | |
| 126051-7W | Other | NY | WORKERS COMPENSATION |
| 133884168 | Other | NY | POMCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039077 | CT | MD | Gastroenterology Physician |
| 126015 | NY | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1801875646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"address_2": "3RD FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-681-3146",
"fax_number": "914-682-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-682-6466",
"fax_number": "914-682-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "ALAN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "126015",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "039077",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PPO",
"identifier": "12A512/12A513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE STATE PLAN (NYS)",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "384715-IM",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110219501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4973373-016",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000045836",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "126015",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0D1951/3C1307",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "133884168",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4415181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2222721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1535974",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00492342",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "126051-7W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "133884168",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.