Individual provider Active NPI

Seth Gerald Jawetz, M.D.

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1104010131
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08536200 Issued in NJ
Practice address
6 Brighton Road
2ND Floor
Clifton, NJ 07012-1647
Phone
(973) 777-7911
Fax
(973) 777-5403
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 25MA08536200 NJ Primary
Cardiovascular Disease Physician 207RC0000X 233546 NY

Addresses

Primary practice location

6 Brighton Road
2ND Floor
Clifton, NJ 07012-1647

Mailing address

6 Brighton Road
2ND Floor
Clifton, NJ 07012-1647
Phone (973) 777-7911

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
I20090709000223 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 6709938558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233546NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Oct 1, 2014 Accepting new patients
Summit Medical Group PA CurrentSince Oct 1, 2014 Accepting new patients
Sovereign Medical Group LLC CurrentSince Mar 1, 2011 Accepting new patients
Sovereign Medical Group, LLC PastSince Mar 1, 2011 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

15-01 Broadway
Ste 3
Fair Lawn, NJ 07410

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

Interoperability endpoints

  • Direct secure messaging: seth.jawetz.1@2983.direct.athenahealth.com
  • Direct secure messaging: sjawetz188880@ahs.direct-ci.com

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1104010131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIGHTON ROAD",
            "address_2": "2ND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121647",
            "telephone_number": "973-777-7911",
            "fax_number": "973-473-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIGHTON ROAD",
            "address_2": "2ND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121647",
            "telephone_number": "973-777-7911",
            "fax_number": "973-777-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWETZ",
        "first_name": "SETH",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08536200",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "233546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.