CYRUS MAXIM JALAI
NPI 1568099083
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Cyrus Jalai's NPI number?

The NPI number for Cyrus Jalai is 1568099083. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Cyrus Jalai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cyrus Jalai was last updated on March 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2020PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 430-4031 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Cyrus Maxim Jalai NPPES

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

CYRUS MAXIM JALAI (NPI 1568099083) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568099083

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCYRUS MAXIM JALAI

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401

Phone(718) 430-4031

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 25, 2020

NPPES CertifiedMarch 25, 2020

✔ NPI 1568099083 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

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.

111 E 210TH ST, Bronx, NY 10467

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cyrus Maxim Jalai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658868641

PECOS Enrollment IDI20251014001612

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.

Leave this field empty

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. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)