Provider Demographics
NPI:1750358966
Name:STRAIN, JANET ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELIZABETH
Last Name:STRAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6107
Mailing Address - Country:US
Mailing Address - Phone:917-270-6557
Mailing Address - Fax:
Practice Address - Street 1:26 E 22ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6107
Practice Address - Country:US
Practice Address - Phone:917-270-6557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA067401207RC0000X, 207RI0011X
NY137731207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6431101Medicaid
NJ012096WC0Medicare PIN
NJ6431101Medicaid
NY69B091Medicare ID - Type Unspecified
NJ6431101Medicaid