Active NPI
Omar Jamil, MD
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 185 S Orange Ave
Department of Surgery, Medical Science Building, G-506
Newark, NJ 07103-2757 - Phone
- (973) 972-6639
- NPI assigned
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA10634200 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA10634200 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
185 S Orange Ave
Department of Surgery, Medical Science Building, G-506
Newark, NJ 07103-2757
Mailing address
Department of Radiology
185 South Orange Ave, MSB F-506
Newark, NJ 07103
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900
Hospital & facility affiliations
- The University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey, Inc. | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Diagnostic Radiology | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients |
Locations
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
30 Bergen St
Ste 1205
Newark, NJ 07107
Phone (973) 972-0037
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Newark, NJ
- NPI 1316957913
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Radiation Oncology Physician
- Newark, NJ
- NPI 1558503797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1144640079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF RADIOLOGY",
"address_2": "185 SOUTH ORANGE AVE, MSB F-506",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"address_2": "DEPARTMENT OF SURGERY, MEDICAL SCIENCE BUILDING, G-506",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMIL",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-18",
"last_updated": "2023-04-26",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA10634200",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "25MA10634200",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.