Individual ProviderHarish JastiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551(212) 987-3100PECOS EnrollmentBased on the most recent information from CMS, provider Harish Jasti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1396802955Provider TypeIndividualFull NameJasti, HarishCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/3/2007Last Updated5/30/2014Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 824-2317Mailing LocationMailing Address1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504Phone(212) 987-3100Fax(212) 731-5210Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense274746New YorkCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD073744LPennsylvania