Active NPI
Jennifer Marie Tareco, MD
- Pediatric Orthopaedic Surgery Physician
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 25MA06690400
- Practice address
- 766 Route 202/206
Suite 1
Bridgewater, NJ 08807-1777 - Phone
- (908) 722-0808
- Fax
- (908) 722-7645
- NPI assigned
- Jun 1, 2005
- Last updated
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 25MA06690400 | NJ | Primary |
Addresses
Primary practice location
766 Route 202/206
Suite 1
Bridgewater, NJ 08807-1777
Mailing address
766 Route 202/206
Suite 1
Bridgewater, NJ 08807-1777
Phone (908) 722-0808
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
Interoperability endpoints
- jtareco15093@epicdirect.rwjbh.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1245587922
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1184626327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 ROUTE 202/206",
"address_2": "SUITE 1",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071777",
"telephone_number": "908-722-0808",
"fax_number": "908-722-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 ROUTE 202/206",
"address_2": "SUITE 1",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071777",
"telephone_number": "908-722-0808",
"fax_number": "908-722-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARECO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NJ",
"license": "25MA06690400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.