MEDICARE: DR. SUNJIT S JASPAL 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
1	207R00000X	Internal Medicine Physician	051024	CT
2	208M00000X	Hospitalist Physician	265510	NY
3	208M00000X	Hospitalist Physician	25MA09209500	NJ
4	207RI0200X	Infectious Disease Physician	265510	NY

General Provider Information

NPI Number	:	1548569783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNJIT S JASPAL M.D.

Provider Business Mailing Address
First Line	:	500 W MAIN ST STE 204
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3028
Country	:	US
Telephone Number	:	631-635-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W MAIN ST STE 204
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3028
Country	:	US
Telephone Number	:	631-635-5800
Fax Number	:	631-587-7798

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

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	03/17/2018

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