Individual provider Active NPI

Jimmy Martins Paulo, MD

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1013923424
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08106500 Issued in NJ
Practice address
1 Clara Maass Dr Ste 202
Belleville, NJ 07109-3550
Phone
(973) 450-2433
Fax
(973) 450-2434
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MA08106500 NJ
Internal Medicine Physician 207R00000X 25MA08106500 NJ Primary

Addresses

Primary practice location

1 Clara Maass Dr Ste 202
Belleville, NJ 07109-3550

Mailing address

2525 E Camelback Rd Ste 1100
Phoenix, AZ 85016-4282
Phone (602) 778-3603

Other identifiers 1

IdentifierTypeStateIssuer
0126888MedicaidNJ

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
I20061016000074 NJ Practitioner - HospitalistPractitioner - Internal Medicine 8820094816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Nov 30, 2020 Accepting new patients
Hackensack Specialty Care Associates, PC Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients
New Jersey Trauma and Critical Care Associates, PC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

1 Clara Maass Dr
Ste 202
Belleville, NJ 07109
Phone (973) 450-2433

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: jpaulo17343@epicdirect.rwjbh.org

Organizations & group practices 4

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 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1013923424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E CAMELBACK RD STE 1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164282",
            "telephone_number": "602-778-3603",
            "fax_number": "602-324-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR STE 202",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-450-2433",
            "fax_number": "973-450-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULO",
        "first_name": "JIMMY",
        "middle_name": "MARTINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA08106500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08106500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126888",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.