=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073003190
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SACHIN KUMAR AMRUTHLAL JAIN CARDIOVASCULAR P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2018
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 944 N BROADWAY STE 202
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10701-1316
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-942-8825
-----------------------------------------------------
Fax | 917-979-8170
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 E 80TH ST APT 26A
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10075-0653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-961-1758
-----------------------------------------------------
Fax | 917-979-8170
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. SACHIN KUMAR AMRUTHLAL JAIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 248-961-1758
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | 290388-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------