Physician Compare National (NPI:1487633400)

HEALTHCARE PROVIDER: AJOY KUMAR ROY 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	1487633400
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628037587
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100315000655
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROY
	Individual professional last name
Provider First Name	AJOY
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5100 W TAFT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2G
	Group Practice or individual's line 2 address
City	LIVERPOOL
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	130884841
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330218
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OSWEGO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330241
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330203
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CROUSE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y