Individual provider Active NPI

Brian Jones Jr., PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1194236273
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00478300 Issued in NJ
Practice address
5800 Ridge Ave
Suite 234
Philadelphia, PA 19128
Phone
(215) 487-4540
NPI assigned
Oct 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059403 PA
Physician Assistant 363A00000X 25MP00478300 NJ Primary

Addresses

Primary practice location

5800 Ridge Ave
Suite 234
Philadelphia, PA 19128

Mailing address

5800 Ridge Ave #234
Philadelphia, PA 19128
Phone (215) 487-4540

Other practice location 1

2103 Burlington Mount Holly Rd
Burlington, NJ 08016-4157
Phone (609) 747-9200

Other practice location 2

1 Brace Rd Ste B3
Cherry Hill, NJ 08034-2600
Phone (856) 470-9029

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bjones207226@directvirtua.org
Direct Messaging Address bjones207226@directvirtua.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006000075 NJ Practitioner - Physician Assistant 5597163501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

2103 Mount Holly Rd
Burlington, NJ 08016-4157
Phone (609) 747-9200

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

570 Egg Harbor Rd
Sewell, NJ 08080-2359

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059403PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Nov 1, 2021 Accepting new patients
Virtua Medical Group, PA Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2103 Route 541
Burlington Township, NJ 08016
Phone (609) 386-1460

1 Brace Rd
Ste B3
Cherry Hill, NJ 08034
Phone (856) 470-9029

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

Interoperability endpoints

  • Direct secure messaging: bjones207226@directvirtua.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 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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1194236273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE #234",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-487-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "address_2": "SUITE 234",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-487-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Burlington Mount Holly Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164157",
            "country_code": "US",
            "telephone_number": "609-747-9200",
            "fax_number": "609-747-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brace Rd Ste B3",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342600",
            "country_code": "US",
            "telephone_number": "856-470-9029",
            "fax_number": "856-428-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059403",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00478300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjones207226@directvirtua.org",
            "affiliation": "N",
            "address_1": "2103 Burlington Mount Holly Rd",
            "city": "Burlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080164157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjones207226@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Rd Ste B3",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.