Individual provider Active NPI

Jillian Edwards, D.O.

  • Neurology Physician
  • Cape May Court House, NJ
National Provider Identifier
1104110964
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB09527000 Issued in NJ
Practice address
215 N Main St
Cape May Court House, NJ 08210-2121
Phone
(609) 463-2273
Fax
(609) 536-8215
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 OT013756 PA
Neurology Physician 2084N0400X 25MB09527000 NJ Primary

Addresses

Primary practice location

215 N Main St
Cape May Court House, NJ 08210-2121

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

11 Village Dr
Cape May Court House, NJ 08210-1939
Phone (609) 465-2273

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
I20140806002318 NJ Practitioner - Neurology 0143447649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438

3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965

Hospital & facility affiliations

  • Cape Regional Home Health Care, LLC Home health agency, Cape May Court House, NJ, CCN 317012
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013756PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA Neurology CurrentSince Jul 14, 2014 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Mar 4, 2025 Accepting new patients
CMC Department of Medicine Group PA Neurology CurrentSince Mar 4, 2025 Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

11 Village Dr
Cape May Court House, NJ 08210
Phone (609) 463-2610

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

217 N Main St
Ste 102
Cape May Court House, NJ 08210
Phone (609) 465-2001

215 N Main St
Cape May Court House, NJ 08210
Phone (609) 463-2273

Interoperability endpoints

  • Direct secure messaging: jedwards184715@direct.cooperhealth.edu
  • Direct secure messaging: jillianedwards@crhs.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1104110964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102121",
            "telephone_number": "609-463-2273",
            "fax_number": "609-536-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "082101939",
            "country_code": "US",
            "telephone_number": "609-465-2273",
            "fax_number": "609-463-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OT013756",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB09527000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.