Provider Demographics
NPI:1376514265
Name:KARP, JASON B (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:B
Last Name:KARP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6 OHIO DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1129
Mailing Address - Country:US
Mailing Address - Phone:516-328-8700
Mailing Address - Fax:516-328-8779
Practice Address - Street 1:6 OHIO DR
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-1129
Practice Address - Country:US
Practice Address - Phone:516-328-8700
Practice Address - Fax:516-328-8779
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-09-02
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Provider Licenses
StateLicense IDTaxonomies
NY179910207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY66K661Medicare ID - Type Unspecified
NYF31116Medicare UPIN