Individual provider Active NPI

Jasmine Joseph, PA-C

  • Physician Assistant
  • South Orange, NJ
National Provider Identifier
1205397635
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
707 S Orange Ave
South Orange, NJ 07079-2698
Phone
(973) 761-6111
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

707 S Orange Ave
South Orange, NJ 07079-2698

Mailing address

4 Emil St
Princeton Junction, NJ 08550-1342

Other practice location 1

835 Clinton Ave
Newark, NJ 07108-1035
Phone (973) 399-4000

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
I20220329000233 NJ Practitioner - Physician Assistant 0345635421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

77 Veronica Ave
Suite 102
Somerset, NJ 08873-6804
Phone (732) 246-1311

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.45
Promoting interoperability
100
Improvement activities
40
Cost
73.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton & Rutgers Neurology,P.a CurrentSince Feb 14, 2022 Accepting new patients
Clinton Medical Associates PA Multi-Specialty Past Accepting new patients
Avedamed LLC Multi-Specialty PastSince Apr 21, 2012 Accepting new patients

Locations

9 Centre Dr
Ste 130
Monroe Twp, NJ 08831
Phone (609) 395-7615

800 Bunn Dr
Ste 204
Princeton, NJ 08540
Phone (609) 430-9200

77 Veronica Ave
Ste 102
Somerset, NJ 08873
Phone (732) 246-1311

Interoperability endpoints

  • Direct secure messaging: jasmine.joseph.1@21248.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21248/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1205397635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMIL ST",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071081035",
            "country_code": "US",
            "telephone_number": "973-399-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JASMINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.