Provider Demographics
NPI:1548569783
Name:JASPAL, SUNJIT S (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNJIT
Middle Name:S
Last Name:JASPAL
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 1:500 W MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3028
Mailing Address - Country:US
Mailing Address - Phone:631-635-5800
Mailing Address - Fax:
Practice Address - Street 1:500 W MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3028
Practice Address - Country:US
Practice Address - Phone:631-635-5800
Practice Address - Fax:631-587-7798
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051024207R00000X
NY265510208M00000X, 207RI0200X
NJ25MA09209500208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist