Organization Active NPI

Jay Medical & Rehab Works PC

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1922105451
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49861 Issued in GA
Legal business name
JAY MEDICAL & REHAB WORKS PC
Practice address
3457 Lawrenceville Suwanee Rd Ste C
Suwanee, GA 30024-6426
Phone
(678) 714-8522
Fax
(678) 714-8542
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Mr. Sanjay Nariani, M.D.NPI 1184836488
Title
President
Phone
(678) 714-8522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 49861 GA Primary

Addresses

Primary practice location

3457 Lawrenceville Suwanee Rd Ste C
Suwanee, GA 30024-6426

Mailing address

3457 Lawrenceville Suwanee Rd Ste C
Suwanee, GA 30024-6426
Phone (678) 714-8522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101111000741 GA Part B Supplier - Clinic/Group Practice 0042405482 Receives reassigned benefits from 5 practitioners
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

3457 Lawrenceville Suwanee Rd
Ste C
Suwanee, GA 30024
Phone (678) 714-8522

3463 Lawrenceville Suwanee Rd
Ste 109
Suwanee, GA 30024
Phone (678) 714-8522

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1922105451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 LAWRENCEVILLE SUWANEE RD STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246426",
            "telephone_number": "678-714-8522",
            "fax_number": "678-714-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 LAWRENCEVILLE SUWANEE RD STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246426",
            "telephone_number": "678-714-8522",
            "fax_number": "678-714-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY MEDICAL & REHAB WORKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "NARIANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-714-8522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "49861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.