Active NPI
Jay Cooke Emlen Jr., DPM
- Foot & Ankle Surgery Podiatrist
- Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00368
- Practice address
- 537 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (774) 202-7935
- Fax
- (774) 628-9702
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00368 | RI | Primary |
Addresses
Primary practice location
537 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
649 East Ave
Pawtucket, RI 02860-6157
Other practice location 1
649 East Ave
Pawtucket, RI 02860-6157
Phone (401) 305-3800
Other practice location 2
950 Warren Ave Ste 103
East Providence, RI 02914-1432
Phone (401) 606-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1524 Atwood Ave
Suite 344
Johnston, RI 02919-3228
Phone (401) 273-5800
537 Faunce Corner Rd
FL 2
Dartmouth, MA 02747-1242
Phone (401) 305-5088
593 Eddy St
Providence, RI 02903-4923
649 E Ave
Pawtucket, RI 02860-6157
Phone (401) 305-5088
950 Warren Ave
Suite 103
East Providence, RI 02914-1432
Phone (401) 606-4325
Hospital & facility affiliations
- Southcoast Visiting Nurse Association Inc
- Saint Anne'S Hospital
- Rhode Island Hospital
- The Miriam Hospital
- Southcoast Hospitals Group
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 305 |
| Removal of skin lesions | 75 |
| Removal of nail tissue | 2531 |
| Removal or shaving of skin growth | 888 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2510 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Lifespan of Massachusetts - Fall River Inc | Past | Accepting new patients |
Locations
537 Faunce Corner Rd
Fl 2
North Dartmouth, MA 02747
Phone (401) 305-5088
537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545
537 Faunce Corner Rd
Ste 2
North Dartmouth, MA 02747
738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
950 Warren Ave
Ste 103
East Providence, RI 02914
Phone (401) 606-4325
649 East Ave
Pawtucket, RI 02860
Phone (401) 305-3800
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Psychiatric Hospital Unit
- Fall River, MA
- NPI 1013744200
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1033615125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 EAST AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "774-202-7935",
"fax_number": "774-628-9702"
}
],
"practiceLocations": [
{
"address_1": "649 East Ave",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028606157",
"country_code": "US",
"telephone_number": "401-305-3800",
"fax_number": "401-305-3803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 Warren Ave Ste 103",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029141432",
"country_code": "US",
"telephone_number": "401-606-4325",
"fax_number": "401-606-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMLEN",
"first_name": "JAY",
"middle_name": "COOKE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "DPM00368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.