Active NPI
Deepali Jain, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1821420159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 277073
- Practice address
- 2245 Ocean Pkwy
3B
Brooklyn, NY 11223-4849 - Phone
- (646) 415-2023
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 277073 | NY | Primary |
Addresses
Primary practice location
2245 Ocean Pkwy
3B
Brooklyn, NY 11223-4849
Mailing address
2245 Ocean Pkwy
3B
Brooklyn, NY 11223-4849
Phone (646) 415-2023
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240308001273 | NY | Order and Referring Only - Pediatric Medicine | 6901242288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- djain1053290@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1821420159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 OCEAN PKWY",
"address_2": "3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234849",
"telephone_number": "646-415-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 OCEAN PKWY",
"address_2": "3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234849",
"telephone_number": "646-415-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "DEEPALI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "277073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.