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NPI Code Detail

MEDICARE: DR. SUNITA K. JAIN M.D.

MEDICARE: DR. SUNITA K. JAIN M.D.
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 Physician209803NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11000027876OTHERNYAFFINITY
23C3275OTHERNYHEALTHNET
3000000072442OTHERNYGHI HMO
42128487OTHERNYUNITED HEALTHCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6040426009475OTHERNYFIDELIS
75997924OTHERNYGHI PPO
8135337OTHERNYAETNA HMO
95090A1OTHERNYBCBS
105841688OTHERNYAETNA PPO
11209803OTHERNYHIP
123134504OTHERNYCIGNA
13P2471796OTHERNYOXFORD

General Provider Information

NPI Number : 1487649257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNITA K. JAIN M.D.
Provider Business Mailing Address
First Line : 1 HEALTHY WAY
Second Line : ATTN: PHYSICIAN BILLING
City : OCEANSIDE
State : NY
Zip : 11572-1551
Country : US
Telephone Number : 516-255-1600
Fax Number : 516-255-4672
Provider Business Practice Location Address
First Line : 196 MERRICK RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-1420
Country : US
Telephone Number : 516-255-8400
Fax Number : 516-255-8453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 07/08/2007

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