Individual provider Active NPI

Jeffrey Robert Pappert, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1164695722
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08374200 Issued in NJ
Practice address
377 Jersey Ave
Ste 590
Jersey City, NJ 07302-4393
Phone
(201) 763-6313
Fax
(201) 763-6062
NPI assigned
Apr 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08374200 NJ Primary

Addresses

Primary practice location

377 Jersey Ave
Ste 590
Jersey City, NJ 07302-4393

Mailing address

20 2ND St
Apt# 906
Jersey City, NJ 07302-3075
Phone (201) 239-7182

Other identifiers 1

IdentifierTypeStateIssuer
139552ADCOtherNJMEDICARE ID

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
I20081219000353 NJ Practitioner - Internal Medicine 1254493513 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medemerge LLCGroup PAC ID 1456340595, 22 clinicians

Practice addresses (Care Compare)

1005 N Washington Ave
Green Brook, NJ 08812-2619
Phone (732) 968-8900

377 Jersey Ave
Suite 590
Jersey City, NJ 07302-4393
Phone (201) 763-6313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08374200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medemerge LLC CurrentSince Jan 1, 2020 Accepting new patients
Medemerge P.a. Current Accepting new patients
Metropolitan Family Health Network, Inc. Past Accepting new patients
Hudson County Primary Care Internal Medicine PastSince Aug 9, 2011 Accepting new patients
Robert Wood Johnson University Hospital Inc Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Metropolitan Family Health Network, Inc. Past Accepting new patients

Locations

1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1039
  • FHIR API: https://fhir-myrecord.cerner.com/r4/xYxhuXIFsLg59PaSNJv_x-piAtPKX3W8/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations & group practices 7

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 2

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1164695722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 2ND ST",
            "address_2": "APT# 906",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023075",
            "telephone_number": "201-239-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "STE 590",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-763-6313",
            "fax_number": "201-763-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPERT",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08374200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "139552ADC",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.