Physician Compare National (NPI:1255596649)

HEALTHCARE PROVIDER: JAY VINAY DOSHI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255596649
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496889529
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100811000739
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOSHI
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIAC ELECTROPHYSIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIAC ELECTROPHYSIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1989 ROUTE 52
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	HOPEWELL JUNCTION
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	125333533
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ORANGE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330046
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNT SINAI ST LUKE'S ROOSEVELT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330208
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST JOHN'S RIVERSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M