Provider Demographics
NPI:1558771469
Name:JAYANT H BARAI MD PA
Entity Type:Organization
Organization Name:JAYANT H BARAI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYANT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-678-5700
Mailing Address - Street 1:345 HENRY ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2500
Mailing Address - Country:US
Mailing Address - Phone:973-678-5700
Mailing Address - Fax:973-414-0963
Practice Address - Street 1:345 HENRY ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2500
Practice Address - Country:US
Practice Address - Phone:973-678-5700
Practice Address - Fax:973-414-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty