Individual provider Active NPI

Puja Jain, MD

  • Neurology Physician
  • Jersey City, NJ
National Provider Identifier
1083109706
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
322455 Issued in NY
Practice address
2935 John F Kennedy Blvd Apt 1014
Jersey City, NJ 07306-3885
Phone
(929) 253-6060
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA11844000 NJ
Neurology Physician 2084N0400X 322455 NY Primary

Addresses

Primary practice location

2935 John F Kennedy Blvd Apt 1014
Jersey City, NJ 07306-3885

Mailing address

2935 John F Kennedy Blvd Apt 1014
Jersey City, NJ 07306-3885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230925001583 NY Practitioner - Neurology 8921339318 Reassigns benefits to 2 organizations
I20251015003267 NJ Practitioner - Neurology 8921339318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ICU NJ PCGroup PAC ID 4082836697, 21 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (561) 299-3667

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

97 W Pkwy
2ND Floor
Pompton Plains, NJ 07444-1647
Phone (973) 831-5063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322455NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Aug 1, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Sep 1, 2025 Accepting new patients
ICU NJ, PC CurrentSince Oct 15, 2025 Accepting new patients
Practice Associates Medical Group CurrentSince Jul 25, 2025 Accepting new patients
Ny Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Aug 1, 2023 Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

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

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

97 W Parkway
Fl 2
Pompton Plains, NJ 07444
Phone (908) 598-6610

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

535 E 70th St
New York, NY 10021

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • Direct secure messaging: puja.jain.1@13555.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1083109706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 JOHN F KENNEDY BLVD APT 1014",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 JOHN F KENNEDY BLVD APT 1014",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063885",
            "telephone_number": "929-253-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "PUJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11844000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "322455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.