Provider Demographics
NPI:1326054834
Name:JAFAR, JAFAR J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAFAR
Middle Name:J
Last Name:JAFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:MADISON SQUARE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10159-1810
Mailing Address - Country:US
Mailing Address - Phone:212-263-6312
Mailing Address - Fax:212-263-6992
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 8R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-6312
Practice Address - Fax:212-263-6992
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176839-1207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
N75215OtherHEALTHNET
13-3593866OtherMULTIPLAN
13-3593866Other1199
176839OtherHIP
13-3593866OtherUNITED HEALTHCARE
133593866OtherMAGNACARE
1338892OtherCIGNA
2741735OtherAETNA HMO
3000027OtherGHI
4206305OtherAETNA PPO
13-3593866OtherPHCS
13-35938666OtherEMPIRE UNITED
1338892OtherCIGNA