Individual provider Active NPI

Jacqueline Filion, D.O.

  • Family Medicine Physician
  • Montville, NJ
National Provider Identifier
1184704934
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05838600 Issued in NJ
Practice address
137 Main Rd
Suite 200
Montville, NJ 07045-9231
Phone
(973) 402-0025
Fax
(973) 402-0508
NPI assigned
Oct 16, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05838600 NJ Primary

Addresses

Primary practice location

137 Main Rd
Suite 200
Montville, NJ 07045-9231

Mailing address

137 Main Rd
Suite 200
Montville, NJ 07045-9231
Phone (973) 402-0025

Other identifiers 1

IdentifierTypeStateIssuer
7509600MedicaidNJ

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
I20110317000236 NJ Practitioner - Family Practice 9931381621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montville Family Practice Associates, PAGroup PAC ID 4486640786, 3 clinicians

Practice addresses (Care Compare)

137 Main Rd
Suite 200
Montville, NJ 07045-9231
Phone (973) 402-0025

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05838600NJMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jacqueline.filion.1@31573.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1184704934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN RD",
            "address_2": "SUITE 200",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459231",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN RD",
            "address_2": "SUITE 200",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459231",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILION",
        "first_name": "JACQUELINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05838600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7509600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.