MEDICARE: J.S. AMIN M.D. PA

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	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1538388970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J.S. AMIN M.D. PA

Provider Business Mailing Address
First Line	:	355 HENRY ST
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-2514
Country	:	US
Telephone Number	:	973-672-0352
Fax Number	:	973-672-3393

Provider Business Practice Location Address
First Line	:	355 HENRY ST
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-2514
Country	:	US
Telephone Number	:	973-672-0352
Fax Number	:	973-672-3393

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	DR. JASHVANT S AMIN
Credential	:	M.D.
Telephone Number	:	973-672-0352

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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