Provider Demographics
NPI:1821720335
Name:ACHARYA, JAIME CC (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:CC
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:C
Other - Last Name:CLARKE CASELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:579A CRANBURY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5426
Mailing Address - Country:US
Mailing Address - Phone:732-724-3070
Mailing Address - Fax:
Practice Address - Street 1:579A CRANBURY RD STE 103
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5426
Practice Address - Country:US
Practice Address - Phone:732-724-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125079685207Q00000X
IL036175011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine