Provider Demographics
NPI:1528207628
Name:JAYINS I CORP
Entity Type:Organization
Organization Name:JAYINS I CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARUMUGAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:JAYARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-790-2661
Mailing Address - Street 1:2 CATHARINE ST
Mailing Address - Street 2:P.O. BOX 550
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3100
Mailing Address - Country:US
Mailing Address - Phone:845-790-2661
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:60 JEFFERSON ST STE 5
Practice Address - Street 2:JAYINS I CORP (ARUMUGAM JAYARAJ, MD.)
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1131
Practice Address - Country:US
Practice Address - Phone:845-790-2667
Practice Address - Fax:845-790-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA207279-1207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty