SURESH P JAIN (NPI# 1740203686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740203686 |
| Entity Type | Individual |
| Full Name | SURESH P JAIN |
| Credential | MD |
| Practice Address |
13420 Jamaica Ave 1st Fl Jamaica NY 11418 |
| Mailing Address |
49 Hamilton Dr Roslyn NY 11576-3128 |
| Practice Telephone | 7182066742 |
| Practice Fax Number | 7182068818 |
| Mailing Telephone | 5166405669 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
240921 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
240921 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1496871 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 E 77th St, New York, NY 100751851 | 2124342606 | 2124342610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232305 | Suresh Jain | Pediatrics | 716 Spring Avenue Se, Wise, VA 24293 | 2006-05-16 |
| 1669420691 | Suresh Jain | Internal Medicine | 695 Chestnut St, Union, NJ 07083-9302 | 2006-05-04 |
| Street Address |
13420 JAMAICA AVE 1ST FL |
| City | JAMAICA |
| State | NY |
| Zip Code | 11418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532113 | Mohammad Babury | Internal Medicine | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2006-03-22 |
| 1154880433 | Alyssa Rose Mascolo | Student in an Organized Health Care Education/Training Program | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2019-03-18 |
| 1457819229 | Regina Murdakhayeva | Student in an Organized Health Care Education/Training Program | 13420 Jamaica Ave, Jamaica, NY 11418 | 2019-03-11 |
| 1831657246 | Judah Dubin | Student in an Organized Health Care Education/Training Program | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2019-03-05 |
| 1427549450 | Victoria Fuzaylova | Student in an Organized Health Care Education/Training Program | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2018-05-25 |
| 1003306184 | Michelle Miriam Navi | Dentist | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2018-05-15 |
| 1124380571 | Flushing Hospital Medical Center Early Intervention Program | Early Intervention Provider Agency | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2012-06-12 |
| 1841552627 | Edith Jannette Gonzalez | Case Manager/Care Coordinator | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2012-06-08 |
| 1225176175 | Jamaica Hospital Medical Center | Clinic/Center | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2007-02-02 |
| 1376603639 | Ratilal Patel | Internal Medicine | 13420 Jamaica Ave, Axel Bldg, 1st Floor, Jamaica, NY 11418-2619 | 2006-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
| Find all providers in zip 11418 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225169956 | Javed Suleman M.d. P.C. | Internal Medicine | 14305 Hillside Ave, Jamaica, NY 11435-3230 | 2007-03-07 |
| 1053630798 | Gagandeep Singh | Internal Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
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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.