JAISON JACOB JOHN DO
NPI 1053932293
Internal Medicine - Cardiovascular Disease in Plainview, NY

Active since April 28, 2020PECOS Enrolled
1600 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 433-3600 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Jun 7, 2023, May 9, 2023 (3 updates tracked since 2023).

About Jaison Jacob John Do NPPES

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

JAISON JACOB JOHN DO (NPI 1053932293) is an individual cardiovascular disease provider in Plainview, New York, licensed in New York (342481) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1053932293
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAISON JACOB JOHNCredential: DO
Location Address1600 OLD COUNTRY RDPlainview, NY 11803-5013
Mailing Address2401 S 31st St # Msag407qTemple, TX 76508-0001 · (254) 724-9290
Sole ProprietorNo
Enumeration DateApril 28, 2020
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1053932293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 342481
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License BP10072178 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10072178 (TX)
1600 OLD COUNTRY RD, Plainview, NY 11803

Secondary Practice Location 1

Location 12401 S 31st St # Msag407QTemple, TX 76508-5302 · Phone (254) 724-9290

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaison Jacob John Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dermatology
1600 OLD COUNTRY RD
PLAINVIEW, NY 11803
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1600 OLD COUNTRY RD
PLAINVIEW, NY 11803

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 Jaison John's NPI number?

The NPI number for Jaison John is 1053932293. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Jaison John located?

Jaison John practices at 1600 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 433-3600.

What is Jaison John's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jaison John enrolled in Medicare?

Yes. Jaison John is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaison John was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.