PRACHI JAIN (NPI# 1326333626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326333626 |
| Entity Type | Individual |
| Full Name | PRACHI JAIN |
| Credential | M.D. |
| Practice Address |
2330 Easctcester Rd Bronx NY 10469-1046 |
| Mailing Address |
1500 Route 112 Ste 101 Port Jefferson Station NY 11776-8054 |
| Practice Telephone | 7187324000 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
153621 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LICENSE | 270369 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 285 Sills Rd, East Patchogue, NY 117724869 | 6317513000 | 6315096559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225569783 | Prachi Ajay Jain | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-03-25 |
| Street Address |
2330 EASCTCESTER RD |
| City | BRONX |
| State | NY |
| Zip Code | 10469-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093917924 | Chandan Guha | Radiology | Mmc Radiation Oncology, 111 E. 210th Street, Bronx, NY 10467 | 2007-06-04 |
| 1942381371 | Shalom Kalnicki | Radiology | Center for Radiation Therapy, 1625 Poplar Street, 1st Floor, Bronx, NY 10461 | 2006-10-19 |
| 1124540216 | Jonathan Harris Klein | Radiology | 111 E 210th St, Bronx, NY 10467-2401 | 2017-07-11 |
| 1023548831 | Nicola Joseph Nasser | Radiology | 111 E 210th St, Bronx, NY 10467-2401 | 2017-06-14 |
| 1811200256 | Rafi Kabarriti | Radiology | 111 E 210th St, Bronx, NY 10467-2401 | 2010-07-14 |
| 1538325782 | Radiosurgery America PC | Radiology | 1180 Morris Park Ave, Bronx, NY 10461-1925 | 2008-08-06 |
| 1841457959 | Reuven Z Grossman | Radiology | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2008-05-19 |
| 1417151341 | Alice Van-heng Cheuk | Radiology | 130 W Kingsbridge Rd, Department of Radiation Oncology, Gd-02, Bronx, NY 10468-3904 | 2007-06-13 |
| 1659458784 | Aubrey Lowell Freiberg | Radiology | 234 E 149th St, Bronx, NY 10451-5504 | 2006-11-01 |
| 1215018643 | Madhur K Garg | Radiology | Mmc - Radiation Oncology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-19 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.