AMANDEEP JUTLA M.D.
NPI 1215295167
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY
NPI Status: Active since April 29, 2012
Contact Information
1051 RIVERSIDE DR UNIT 74
NEW YORK, NY
ZIP 10032
Phone: (323) 347-1096
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- PECOS Enrolled
About AMANDEEP JUTLA
This page provides the complete NPI Profile along with additional information for Amandeep Jutla, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1215295167 assigned on April 2012. The practitioner's primary taxonomy code is 2084P0804X with license number 295946 (NY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1215295167
- Provider Name
- AMANDEEP JUTLA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1051 RIVERSIDE DR UNIT 74 NEW YORK, NY 10032
- Location Phone
- (323) 347-1096
- Mailing Address
- 1051 RIVERSIDE DR UNIT 74 NEW YORK, NY 10032
- Mailing Phone
- (323) 347-1096
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-29-2012
- Last Update Date
- 11-08-2018
- Code Navigator
Location Map
Secondary Locations
- 760 Westwood Plz
Los Angeles, CA 90024
(323) 347-1096
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 295946
- License State
- NY
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | A129984 (CA) |
Medicare Participation & PECOS Enrollment Status
Amandeep Jutla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 9 | 5 | 1 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 9 | 10 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 9 + 1 + 0 + 1 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1215295167 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689796591 | DR. JENNIFER ELAINE JONES PH.D. Individual | Psychologist (Clinical) | 1051 RIVERSIDE DR UNIT 74 NEW YORK, NY 10032 (212) 543-6911 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215295167, enumerated in the NPI registry as an "individual" on April 29, 2012
The provider is located at 1051 Riverside Dr Unit 74 New York, Ny 10032 and the phone number is (323) 347-1096
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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