NPIMap

Individual provider Active NPI

Jason David Litsky, DO

  • Interventional Cardiology Physician
  • Eatontown, NJ
National Provider Identifier
1114169539
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MB09435600 Issued in NJ
Practice address
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone
(732) 663-0300
Fax
(732) 663-0301
NPI assigned
Mar 31, 2009
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MB09435600 NJ Primary

Addresses

Primary practice location

11 Meridian Rd
Eatontown, NJ 07724-2242

Mailing address

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605000950 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2365578093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Cardiology Associates, LLCGroup PAC ID 6901881200, 43 clinicians

Practice addresses (Care Compare)

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
73.77
Promoting interoperability
95
Improvement activities
40
Cost
73.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting78
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Cardiovascular Interpretive Services PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1114169539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITSKY",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MB09435600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.