Active NPI
Jorge L. Verea, MD
- Specialist
- West New York, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 47302
- Practice address
- 6500 Broadway
West New York, NJ 07093-3112 - Phone
- (201) 864-3456
- Fax
- (201) 869-7224
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 47302 | NJ | Primary |
Addresses
Primary practice location
6500 Broadway
West New York, NJ 07093-3112
Mailing address
6500 Broadway
West New York, NJ 07093-3112
Phone (201) 864-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3813207 | Medicaid | NJ |
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
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 Broad Way
West New York, NJ 07093-3112
Phone (201) 864-3456
Hospital & facility affiliations
- Amedisys Home Health
- Palisades Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47302 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Medical Associates, PA | Current | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
6500 Broadway
West New York, NJ 07093
Phone (201) 864-3456
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIBGBA/Endpoint/BIBGBA
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.
-
- Internal Medicine Physician
- Teaneck, NJ
- NPI 1992736300
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358035200000",
"number": "1164469540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 BROADWAY",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070933112",
"telephone_number": "201-864-3456",
"fax_number": "201-869-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BROADWAY",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070933112",
"telephone_number": "201-864-3456",
"fax_number": "201-869-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEREA",
"first_name": "JORGE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2013-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "47302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3813207",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.