Individual provider Active NPI

Jason Carness

  • Psychiatry Physician
  • Parsippany, NJ
National Provider Identifier
1184068223
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10138200 Issued in NJ
Practice address
22 Hill Rd
Parsippany, NJ 07054
Phone
(973) 335-9909
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10138200 NJ Primary

Addresses

Primary practice location

22 Hill Rd
Parsippany, NJ 07054

Mailing address

22 Hill Rd
Parsippany, NJ 07054-1078
Phone (973) 335-9909

Other practice location 1

2004 Ridgewood Dr NE Ste 216
Atlanta, GA 30322-1031
Phone (404) 727-5157

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
I20171004002300 NJ Practitioner - Psychiatry 9537434345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Immediate Care Psychiatric CenterGroup PAC ID 0042206757, 8 clinicians

Practice addresses (Care Compare)

22 Hill Rd
Parsippany, NJ 07054-1078
Phone (973) 335-9909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10138200NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Psychiatric Center Psychiatry CurrentSince Aug 1, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1184068223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541078",
            "telephone_number": "973-335-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILL RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-335-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Ridgewood Dr NE Ste 216",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221031",
            "country_code": "US",
            "telephone_number": "404-727-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNESS",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10138200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.