Active NPI
Ami Jatinkumar Jain, MD
- Pediatrics Physician
- Bridgewater, NJ
National Provider Identifier
1124124649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA69522
- Practice address
- 720 US Hwy 202 206 N
Pediahealth Medical Associates
Bridgewater, NJ 08807 - Phone
- (908) 722-5444
- Fax
- (908) 722-5071
- NPI assigned
- Sep 15, 2006
- Last updated
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA69522 | NJ | Primary |
Addresses
Primary practice location
720 US Hwy 202 206 N
Pediahealth Medical Associates
Bridgewater, NJ 08807
Mailing address
13 White Meadow Road
Hillsborough, NJ 08844
Phone (908) 281-9323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA69522 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Partners, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1124124649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 WHITE MEADOW ROAD",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "08844",
"telephone_number": "908-281-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 US HWY 202 206 N",
"address_2": "PEDIAHEALTH MEDICAL ASSOCIATES",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "08807",
"telephone_number": "908-722-5444",
"fax_number": "908-722-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "AMI",
"middle_name": "JATINKUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA69522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.