Individual provider Active NPI

Jamie Flynn, D.O.

  • Family Medicine Physician
  • Bordentown, NJ
National Provider Identifier
1013391911
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10268200 Issued in NJ
Practice address
100 K Johnson Blvd Ste 101
Bordentown, NJ 08505-2275
Phone
(609) 298-2005
Fax
(609) 324-8267
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10268200 NJ Primary

Addresses

Primary practice location

100 K Johnson Blvd Ste 101
Bordentown, NJ 08505-2275

Mailing address

1 3Rd St
Bordentown, NJ 08505-1321
Phone (609) 298-2005

Other practice location 1

1 3rd St
Bordentown, NJ 08505
Phone (609) 298-2005

Other practice location 2

23203 Columbus Rd Ste I
Columbus, NJ 08022-1985
Phone (609) 303-4450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.flynn.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709002620 NJ Practitioner - Family Practice 7012263874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

23203 Columbus Rd
Suite 1
Columbus, NJ 08022-1984
Phone (609) 303-4450

Hospital & facility affiliations

  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Family Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

1 3rd St
Bordentown, NJ 08505
Phone (609) 298-2005

100 K Johnson Blvd
Ste 101
Bordentown, NJ 08505
Phone (609) 298-2005

23203 Columbus Rd
Ste 1
Columbus, NJ 08022
Phone (609) 303-4450

23203 Columbus Rd
Ste I
Columbus, NJ 08022
Phone (609) 303-4450

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

Interoperability endpoints

  • Direct secure messaging: jamie.flynn.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1013391911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 3RD ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD STE 101",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-298-2005",
            "fax_number": "609-324-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "08505",
            "country_code": "US",
            "telephone_number": "609-298-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23203 Columbus Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080221985",
            "country_code": "US",
            "telephone_number": "609-303-4450",
            "fax_number": "609-303-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JAMIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10268200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.flynn.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 K Johnson Blvd Ste 101",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.