SOMASUNDARAM JAYABOSE MD NPI 1316947047

NPI Information

  • NPI: 1316947047
  • Provider Name: SOMASUNDARAM JAYABOSE, MD
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • Address: 19 BRADHURST AVE
    STE. 1400
    HAWTHORNE, NY
    ZIP 10532
  • Phone: (914) 493-7997

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NPI Details

Somasundaram Jayabose, MD is a pediatric hematology-oncology pediatrics in Hawthorne, NY. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Somasundaram Jayabose, MD NPI is 1316947047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19 BRADHURST AVE
STE. 1400
HAWTHORNE, NY
ZIP 10532-140
Phone: (914) 493-7997
Fax: (914) 594-4022

The enumeration date for this NPI number is 7/22/2005 and was last updated on 9/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0207XPediatricsPediatric Hematology-Oncology121557NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B13455MEDICARE UPINNEW YORK
200228120MEDICAIDNEW YORK
31016681230002MEDICAIDPENNSYLVANIA
4342771MEDICARE PINNEW YORK
57169701MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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