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JAY DALAL
NPI 1053167155
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 29, 2024PECOS Enrolled
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Jay Dalal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY DALAL (NPI 1053167155) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Connecticut (14758) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053167155
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAY DALAL
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address20 Carolyn DrManchester, CT 06042-1992 · (860) 938-2239
Phone(617) 636-6828
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1053167155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 14758
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 KNEELAND ST, Boston, MA 02111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Dalal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Dalal's NPI number?

The NPI number for Jay Dalal is 1053167155. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Jay Dalal located?

Jay Dalal practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Jay Dalal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jay Dalal enrolled in Medicare?

Yes. Jay Dalal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Dalal was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.