DR. JAY IYPE (NPI# 1225076722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225076722 |
| Entity Type | Individual |
| Full Name | DR. JAY IYPE |
| Credential | M.D. |
| Practice Address |
2799 Route 112 Suite #11 Medford NY 11763 |
| Practice Telephone | 6317325222 |
| Practice Fax Number | 6317326222 |
| Mailing Telephone | 6317325222 |
| Mailing Fax Number | 6317326222 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 231749 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BC.BS | 6B6671 | 01 |
| NY | 02559680 | 05 | |
| NY | AETNA | 7662603 | 01 |
| Street Address |
2799 ROUTE 112 SUITE #11 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181214 | Jessica Chandhok | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2019-12-10 |
| 1093239790 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2799 Route 112, Medford, NY 11763-2535 | 2017-08-03 |
| 1528373081 | Elizabeth A. Milia | Optometrist | 2799 Route 112, Suite 21a, Medford, NY 11763-2535 | 2010-08-09 |
| 1457678906 | Lauren Elizabeth Ng | Pediatrics | 2799 Route 112, Suite 11, Medford, NY 11763-2535 | 2010-04-23 |
| 1336462852 | Badrud D Shaikh | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2010-03-11 |
| 1982889168 | John Desimone | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2008-01-07 |
| 1235310418 | Tithiporn Premaskul | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-16 |
| 1073793352 | Gabriel Esteban Rodriguez | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2007-11-05 |
| 1275667339 | Noreen Lagman | Physical Therapist | 2799 Route 112, Suite 5, Medford, NY 11763-2535 | 2007-03-14 |
| 1447359617 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2799 Route 112, Medford, NY 11763-2535 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| 1538435417 | Stefanie T Ogawa | Pediatrics | 840 Royal Ave Ste 110, Medford, OR 97504-6461 | 2012-03-26 |
| 1629150420 | Michael A Davis | Pediatrics | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-10-20 |
| 1154424158 | Laura Balestreri | Pediatrics | 1322 E Mcandrews Rd Ste 202, Medford, OR 97504-6177 | 2006-09-06 |
| 1174630263 | Jennifer Ann Nastasi | Pediatrics | 2799 Route 112 Ste 11, Medford, NY 11763-2535 | 2006-08-24 |
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1992765804 | Barbara J Sibley | Pediatrics | 750 Murphy Road, Medford, OR 97504 | 2006-03-24 |
| 1760470207 | Laurel Bell | Pediatrics | 2825 E. Barnett Rd, Medford, OR 97504-8179 | 2005-10-10 |
| 1881687804 | David Andrew Bross | Pediatrics | Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155 | 2005-08-24 |
| 1417953381 | Martin Kenneth Young | Pediatrics | 2940 Doctors Park Dr, Children and Adolescents Clinic, Medford, OR 97504 | 2005-06-24 |
| Find all providers in MEDFORD | ||||
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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.