Active NPI
Jeffrey Craig Selan, M.D.
- Interventional Cardiology Physician
- Eatontown, NJ
National Provider Identifier
1134480205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25MA10523700
- Practice address
- 11 Meridian Rd
Eatontown, NJ 07724-2242 - Phone
- (732) 663-0300
- Fax
- (732) 663-0301
- NPI assigned
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 25MA10523700 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 252818 | MA |
Addresses
Primary practice location
11 Meridian Rd
Eatontown, NJ 07724-2242
Mailing address
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300
Other practice location 1
222 Schanck Rd Ste 104
Freehold, NJ 07728-2974
Phone (732) 431-1332
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190531000443 | NJ | Practitioner - Interventional Cardiology | 9234475476 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monmouth Cardiology Associates, LLCMeridian Cardiovascular Interpretive Services PC
Practice addresses (Care Compare)
11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300
1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4300
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Riverview Medical Center
- Centrastate Medical Center
- Ocean Medical Center
- Bayshore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.83 of 100
- Quality
- 73.77
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 73.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 64 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252818 | MA | MD | Internal Medicine Physician |
| 25MA10523700 | NJ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Cardiovascular Interpretive Services PC | Single Specialty | Current | Accepting new patients |
Locations
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- jselan@mca.gwaydirect.com
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Neptune, NJ
- NPI 1548310576
NJ, Single Specialty
-
- Cardiovascular Disease Physician
- Eatontown, NJ
- NPI 1285601674
NJ
Hospital & facility affiliations 10
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": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1134480205",
"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": [
{
"address_1": "222 Schanck Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077282974",
"country_code": "US",
"telephone_number": "732-431-1332",
"fax_number": "732-431-1712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELAN",
"first_name": "JEFFREY",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NJ",
"license": "25MA10523700",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "252818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.