Individual provider Active NPI

Jorge L. Verea, MD

  • Specialist
  • West New York, NJ
National Provider Identifier
1164469540
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
47302 Issued in NJ
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

Updated by the provider on Jan 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3813207MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000302 NJ Practitioner - Internal Medicine 4284677352 Reassigns benefits to 1 organization

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
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

6500 Broad Way
West New York, NJ 07093-3112
Phone (201) 864-3456

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47302NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Dec 1, 2015 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.