Individual provider Active NPI

Jessica Bautista Seares, M.D.

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1053587998
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06316400 Issued in NJ
Practice address
35 Beaverson Blvd BLDG 7
Suite B
Brick, NJ 08723-7812
Phone
(732) 262-2400
Fax
(732) 262-3883
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06316400 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd BLDG 7
Suite B
Brick, NJ 08723-7812

Mailing address

35 Beaverson Blvd BLDG 7
Suite B
Brick, NJ 08723-7812
Phone (732) 262-2400

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
I20101123000045 NJ Practitioner - Internal Medicine 0446446090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Petronilo L Seares Jr MD LLCGroup PAC ID 7810064938, 2 clinicians

Practice addresses (Care Compare)

35 Beaverson Blvd
Brick, NJ 08723-7860
Phone (732) 262-2400

Hospital & facility affiliations

  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Petronilo L Seares Jr MD LLC Internal Medicine CurrentSince Jul 10, 2010 Accepting new patients
Medical Office Force Internal Medicine PastSince Dec 7, 2021 Accepting new patients

Locations

35 Beaverson Blvd
Ste 7B
Brick, NJ 08723
Phone (732) 262-2400

Organizations & group practices 2

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 4

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1053587998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD BLDG 7",
            "address_2": "SUITE B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-262-2400",
            "fax_number": "732-262-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD BLDG 7",
            "address_2": "SUITE B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-262-2400",
            "fax_number": "732-262-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARES",
        "first_name": "JESSICA",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06316400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.