Provider Demographics
NPI:1700806171
Name:JONAS, SARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAN
Middle Name:
Last Name:JONAS
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 1:530 1ST AVE
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7202
Mailing Address - Fax:212-263-7871
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7202
Practice Address - Fax:212-263-7871
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079840-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0056773OtherAETNA PPO
0056773OtherAETNA HMO
6737773OtherCIGNA
079840OtherHIP
0M0449OtherHEALTHNET
0034377OtherGHI
139065OtherUNITED HEALTHCARE
NYC06182Medicare UPIN
0056773OtherAETNA PPO