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NPI Code Detail

MEDICARE: DR. BEENA JANI MD

MEDICARE: DR. BEENA JANI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician230172-1NY
2207Q00000XFamily Medicine PhysicianMA073669NJ

General Provider Information

NPI Number : 1255499109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEENA JANI MD
Provider Business Mailing Address
First Line : 610 WEST 158TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10032
Country : US
Telephone Number : 646-429-8085
Fax Number :
Provider Business Practice Location Address
First Line : 85 WOODLAND RD
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2449
Country : US
Telephone Number : 973-315-9076
Fax Number : 973-376-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2019

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