Basic Information
Provider Information
NPI: 1194970335
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAJOO
FirstName: PARUL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 274 MADISON AVE
Address2: SUITE 201
City: NEW YORK
State: NY
PostalCode: 100160701
CountryCode: US
TelephoneNumber: 2126851666
FaxNumber: 2126858612
Practice Location
Address1: 355 W 52ND ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100196239
CountryCode: US
TelephoneNumber: 6467542100
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/01/2008
LastUpdateDate: 08/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2081P2900X249167NYY Allopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine

No ID Information.


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