DR. ABHISHRUT PRAMOD JOG MD
NPI 1528620036
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 04, 2019PECOS Enrolled
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 590-1800 Get Directions Write a Review

NPPES record last updated: July 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abhishrut Pramod Jog Md NPPES

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

DR. ABHISHRUT PRAMOD JOG MD (NPI 1528620036) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528620036
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ABHISHRUT PRAMOD JOGCredential: MD
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7697
Mailing Address1650 Selwyn Ave Apt 20gBronx, NY 10457-7689 · (929) 360-5726
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 4, 2019
NPI 1528620036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
1650 GRAND CONCOURSE, Bronx, NY 10457

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. Abhishrut Pramod Jog Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244721678
PECOS Enrollment IDI20251113003737
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457

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 Abhishrut Jog's NPI number?

The NPI number for Abhishrut Jog is 1528620036. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Where is Abhishrut Jog located?

Abhishrut Jog practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 590-1800.

What is Abhishrut Jog's specialty?

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

Is Abhishrut Jog enrolled in Medicare?

Yes. Abhishrut Jog is registered in the Medicare PECOS enrollment system.

Is Abhishrut Jog affiliated with any hospitals?

According to CMS data, Abhishrut Jog is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Abhishrut Jog was last updated on July 4, 2019. 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.