Bimal P Jain, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

58508 Issued in MA

Practice address

500 Lynnfield St
Lynn, MA 01904

Phone

(781) 595-3366

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1972601235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-595-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-595-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "BIMAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "58508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034972",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Jackson
• Kerry-Lynne Jacobs-Thompson
• Cherry K Jacobs
• Renee Jacques
• Robinah Elizabeth Jagwe
• Sharda A Jain, M.D.
• Yasmine Merriam Jakib
• Jill Marie Jakle, BS ED.
• Wurie Jalloh, LCSW
• Barbara B. James, RN

• Pulmonary Disease Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Pulmonary Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.

Verify at the official NPI Registry.