Individual provider Active NPI

Jeffrey Martin Mitchel, M.D.

  • Cardiovascular Disease Physician
  • Englewood, NJ
National Provider Identifier
1033126735
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA31248 Issued in NJ
Practice address
370 Grand Ave
Englewood, NJ 07631-4154
Phone
(201) 567-7576
Fax
(201) 567-8628
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA31248 NJ Primary
Cardiovascular Disease Physician 207RC0000X 124155 NY

Addresses

Primary practice location

370 Grand Ave
Englewood, NJ 07631-4154

Mailing address

370 Grand Ave
Englewood, NJ 07631-4154
Phone (201) 567-7576

Other identifiers 2

IdentifierTypeStateIssuer
060044908OtherRAILROAD MEDICARE
JM0605B5010OtherEMPIRE BLUE CROSS BLUE SHIELD

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
I20050915000173 NJ Practitioner - Cardiovascular Disease (Cardiology) 3072407170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Mountain View Rd
Suite C100
Upper Saddle River, NJ 07458-1933

1237 Montauk Hwy
Oakdale, NY 11769

2 Crosfield Ave
Suite 407
West Nyack, NY 10994-2212

30 Montgomery St
Suite 720
Jersey City, NJ 07302-3841

370 Grand Ave
Englewood, NJ 07631-4154

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA31248NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Inst of Intnl Medicine PA Cardiovascular Disease Current Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Englewood Medical Associates, Inc Past Accepting new patients

Locations

316 Knickerbocker Rd
Dumont, NJ 07628
Phone (201) 385-0512

370 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 567-3370

Interoperability endpoints

  • Direct secure messaging: jmitchel236549@direct.englewoodhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1033126735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-567-7576",
            "fax_number": "201-567-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314154",
            "telephone_number": "201-567-7576",
            "fax_number": "201-567-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "JEFFREY",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA31248",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "124155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060044908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "JM0605B5010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.