Provider Demographics
NPI:1447294178
Name:BARAI, JAYANT (MD)
Entity type:Individual
Prefix:DR
First Name:JAYANT
Middle Name:
Last Name:BARAI
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 1:345 HENRY ST, SUITE#105
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2577
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:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2577
Practice Address - Country:US
Practice Address - Phone:973-678-5700
Practice Address - Fax:973-414-0963
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA42281207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3394301Medicaid
NJ3394301Medicaid
NJ520793Medicare ID - Type Unspecified