Individual provider Active NPI

Mir Jafer Ali Joffrey, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Schaumburg, IL
National Provider Identifier
1912026238
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
036.122339 Issued in IL
Practice address
601 N Martingale Rd Ste 155
Schaumburg, IL 60173-5906
Phone
(847) 995-9000
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A86034 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 036.122339 IL Primary

Addresses

Primary practice location

601 N Martingale Rd Ste 155
Schaumburg, IL 60173-5906

Mailing address

1100 E Woodfield Rd
Ste 140
Schaumburg, IL 60173-5121
Phone (847) 995-9000

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

LicenseStateTypeSpecialty
A86034CAMDOtolaryngology Physician
036.122339ILMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Sinus Ok, LLC Otolaryngology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1912026238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "STE 140",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735121",
            "telephone_number": "847-995-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MARTINGALE RD STE 155",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735906",
            "telephone_number": "847-995-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOFFREY",
        "first_name": "MIR",
        "middle_name": "JAFER ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A86034",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": "036.122339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.