MEDICARE: MR. SUDARSHAN K JAGGA 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
1	208100000X	Physical Medicine & Rehabilitation Physician	118526	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336126648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SUDARSHAN K JAGGA MD

Provider Business Mailing Address
First Line	:	24 DUNHILL RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2217
Country	:	US
Telephone Number	:	516-746-6506
Fax Number	:	718-661-4318

Provider Business Practice Location Address
First Line	:	225 STANHOPE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4239
Country	:	US
Telephone Number	:	718-453-3195
Fax Number	:	718-661-4318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	01/25/2026

Similar Medicare Providers

1740491042 — DR. MEIR SHLOMO SPINNER M.D.
Practice Location Address:

1316 UNION ST
BROOKLYN, NY
11213-4239

Practice Phone: 718-953-8158
Practice Fax:

1285889717 — DEBORAH LEAH ZEITLIN CCC-SLP
Practice Location Address:

1310 UNION ST
BROOKLYN, NY
11213-4239

Practice Phone: 347-683-8753
Practice Fax: 718-363-0129

1326501297 — WELL SAID SPEECH SERVICES
Practice Location Address:

1310 UNION ST
BROOKLYN, NY
11213-4239

Practice Phone: 347-683-8753
Practice Fax:

1972147809 — ELYSE NATALIA BLYTHE RN
Practice Location Address:

1781 BROOKLYN AVE # 2
BROOKLYN, NY
11210-4239

Practice Phone: 347-208-2141
Practice Fax:

1124774880 — LAUREN KACZMAREK
Practice Location Address:

1332 UNION ST
BROOKLYN, NY
11213-4239

Practice Phone: 646-397-6696
Practice Fax:

1083455497 — DARLENE BELTRAN
Practice Location Address:

30 AVENUE V APT 11A
BROOKLYN, NY
11223-4239

Practice Phone: 347-777-0995
Practice Fax:

Directions to “ MR. SUDARSHAN K JAGGA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.