Provider Demographics
NPI:1801875646
Name:JAFFE, ALAN H (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:JAFFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6466
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY126015207RG0100X
CT039077207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133884168OtherGHI PPO
NY12A512/12A513OtherBLUE CROSS PPO
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY384715-IMOtherOXFORD
NY110219501OtherRAILROAD MEDICARE
NY4973373-016OtherCIGNA
NY000000045836OtherGHI HMO
NY126015OtherCONNECTICARE
NY133884168OtherHIP
NY0D1951/3C1307OtherHEALTH NET
NY133884168OtherMULTIPLAN
NY4415181OtherAETNA NON HMO
NY2222721OtherAETNA HMO
NY1535974OtherUNITED HEALTH CARE
NY00492342Medicaid
NY126051-7WOtherWORKERS COMPENSATION
NY133884168OtherPOMCO
CT100000412Medicare PIN
NY12A511Medicare PIN
NY133884168OtherMULTIPLAN