DR. VIJAY K JAIN (NPI# 1407938632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407938632 |
| Entity Type | Individual |
| Full Name | DR. VIJAY K JAIN |
| Credential | MD |
| Practice Address |
1561 Long Pond Rd Suite 302 Rochester NY 14626-4117 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5857231120 |
| Practice Fax Number | 5857231776 |
| Mailing Telephone | 5859220553 |
| Mailing Fax Number | 5859220496 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
133095 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00458291 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 229 Summit St Ste 8, Batavia, NY 140201645 | 5857231120 | 5857231776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
| 1902885551 | Vijay K Jain | Family Medicine | 25 Florida Park Dr N, Palm Coast, FL 32137-3806 | 2006-01-12 |
| 1285629840 | Vijay K. Jain | Psychologist | 15615 North 71st Street, Suite 108, Scottsdale, AZ 85254 | 2005-09-20 |
| 1093709941 | Vijay Jain | Internal Medicine | 6024 Hoover Rd, Grove City, OH 43123-8133 | 2005-09-07 |
| 1073520342 | Vijay Jain | Internal Medicine | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2006-08-01 |
| Street Address |
1561 LONG POND RD SUITE 302 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707905 | Tatiana Zilberberg | Pathology | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2005-08-10 |
| 1992365316 | Olusayo Sarah Akinboboye | Physician Assistant | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2019-06-18 |
| 1134660806 | Irene Jarema | Registered Nurse | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-03-15 |
| 1215474994 | Mark Stowell | Pharmacist | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-01-19 |
| 1881140168 | Sarai Shyday Huitt | Nurse Practitioner | 1561 Long Pond Rd, Suite 202, Rochester, NY 14626-4117 | 2016-08-28 |
| 1437534294 | Kathryn Maureen Godshalk | Physician Assistant | 1561 Long Pond Rd, Suite 303, Rochester, NY 14626-4117 | 2015-07-22 |
| 1871976480 | Galina Mikhalina | Internal Medicine | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2015-06-30 |
| 1043612401 | Lauren Marie Newson | Nurse Practitioner | 1561 Long Pond Rd, Suite 408, Rochester, NY 14626-4117 | 2014-09-17 |
| 1811251473 | Maysaa A Hameed | Internal Medicine | 1561 Long Pond Rd, Suite 480, Rochester, NY 14626-4117 | 2012-06-28 |
| 1770861726 | Patricia Ann Ryan | Nurse Practitioner | 1561 Long Pond Rd, 150, Rochester, NY 14626-4117 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273685 | Fatima Rizwan Khalid | Internal Medicine | 601 Elmwood Ave Box 675, Rochester, NY 14642 | 2011-06-20 |
| 1396846317 | Thu Huy Le | Internal Medicine | 601 Elmwood Ave Ste 675, Rochester, NY 14642-0001 | 2006-09-25 |
| 1821037045 | Robert R Mayo | Internal Medicine | 370 E Ridge Rd Ste 20, Rochester, NY 14621-1239 | 2006-06-05 |
| 1205829744 | James Anthony Sloand | Internal Medicine | 335 Mount Vernon Ave, Rochester, NY 14620-2736 | 2005-08-30 |
| 1992318406 | Amogh Agrawal | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-08-25 |
| 1306383104 | Andrew John Bentall | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-01-31 |
| 1639529837 | Carissa Yanson Dumancas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-06-17 |
| 1063860559 | Jing Miao | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-05-25 |
| 1639532963 | Lagu Alfred Androga | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-04 |
| 1821473109 | Ranine Ghamrawi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2015-07-28 |
| Find all providers in ROCHESTER | ||||
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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.