Jared Jagdeo, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

259396 Issued in NY

Practice address

450 Clarkson Ave FL 8
Brooklyn, NY 11203-2012

Phone

(718) 270-1229

NPI assigned

Feb 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: jjagdeo1585306@nychhc.direct-ci.com
• Direct secure messaging: jaredjagdeo@sunydmc.allscriptsdirect.net

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.

• Atlantic Gastroenterology, P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1780792119
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1992983456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OCEAN AVE",
            "address_2": "APT#4J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303971",
            "telephone_number": "917-837-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE FL 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGDEO",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "259396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Ali Jafri
• Krutika Jagad
• Umapathi Jagarlamudi, R. PH
• George M. Jagatic, M.S., R-DMT, LCAT
• Erica Jagdeo
• Jagdish K Gupta, MD, PC
• Jagdish K. Gupta M.D., P.C.
• George Michael Jager, M.D
• Natasha Jagga Britt, FNP-C
• Marlin Jagganarine

• Procedural Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.