Individual provider Active NPI

Jennifer Epperlein, DO

  • Physical Medicine & Rehabilitation Physician
  • Summit, NJ
National Provider Identifier
1205084357
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08560900 Issued in NJ
Practice address
282 Woodland Ave
Summit, NJ 07901-1437
Phone
(908) 277-2172
NPI assigned
Sep 3, 2008
Last updated
May 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 25MB08560900 NJ Primary

Addresses

Primary practice location

282 Woodland Ave
Summit, NJ 07901-1437

Mailing address

282 Woodland Ave
Summit, NJ 07901-1437
Phone (908) 277-2172

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
I20090731000367 NJ Practitioner - Physical Medicine and Rehabilitation 4284787714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine and Rehabilitation Associates LLCGroup PAC ID 9537399894, 3 clinicians

Practice addresses (Care Compare)

532 N Farview Ave
Dellridge
Paramus, NJ 07652-4130
Phone (973) 255-1155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08560900NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Associates LLC Physical Medicine & Rehabilitation CurrentSince Feb 24, 2014 Accepting new patients
Rehabilitation Specialists of New Jersey, LLC PastSince Jan 23, 2017 Accepting new patients

Locations

1 Cooper Ave
Long Branch, NJ 07740
Phone (732) 728-2270

41 Watchung Plz
Montclair, NJ 07042
Phone (973) 818-0162

532 N Farview Ave
Paramus, NJ 07652
Phone (201) 256-5600

20 Summit St
West Orange, NJ 07052
Phone (973) 736-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1205084357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 WOODLAND AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011437",
            "telephone_number": "908-277-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WOODLAND AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011437",
            "telephone_number": "908-277-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERLEIN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08560900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.