DR. SUPRIYA JAIN M.D.
NPI 1528300910
Pediatrics - Pediatric Allergy/Immunology in Fairfax, VA

Q: What is Supriya Jain's NPI number?

The NPI number for Supriya Jain is 1528300910. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Q: What is Supriya Jain's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Supriya Jain was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since March 23, 2013PECOS Enrolled

3023 HAMAKER CT STE 300, FAIRFAX, VA 22031(703) 876-2788 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Supriya Jain M.d. NPPES

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

DR. SUPRIYA JAIN M.D. (NPI 1528300910) is an individual pediatric allergy/immunology provider in Fairfax, Virginia, licensed in Virginia (0101264109) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1528300910

Entity TypeIndividualFemale

Primary Taxonomy2080P0201X

Provider Legal NameDR. SUPRIYA JAINCredential: M.D.

Location Address3023 HAMAKER CT STE 300Fairfax, VA 22031-2240

Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100

Phone(703) 876-2788

Sole ProprietorNo

Enumeration DateMarch 23, 2013

Last NPPES UpdateAugust 29, 2018

✔ NPI 1528300910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in VA · 0101264109

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3023 HAMAKER CT STE 300, Fairfax, VA 22031

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Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Other Identifiers 1

MedicaidPENDINGVA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Supriya Jain M.d. 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 10

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

DR. DARLENE MANSOOR M.D.

Allergy & Immunology