Individual provider Active NPI

Jenine Lafevre, PT

  • Physical Therapist
  • Columbia, NJ
National Provider Identifier
1205946605
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00543200 Issued in NJ
Practice address
210B Route 94
Columbia, NJ 07832-2821
Phone
(908) 362-6172
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00543200 NJ Primary

Addresses

Primary practice location

210B Route 94
Columbia, NJ 07832-2821

Mailing address

404 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000118 NJ Practitioner - Physical Therapist in Private Practice 0244493450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

210 Route 94
Columbia, NJ 07832-2764
Phone (908) 362-9285

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00543200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Nov 19, 2021 Accepting new patients
Lehigh Valley Physical Therapy Center, Inc Physical Therapist Past Accepting new patients

Locations

210 State Route 94
Columbia, NJ 07832
Phone (908) 362-6172

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

404 Lippincott Dr
Marlton, NJ 08053

33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971

Interoperability endpoints

  • Direct secure messaging: jenine.lafevre.1@18614.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1205946605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210B ROUTE 94",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322821",
            "telephone_number": "908-362-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFEVRE",
        "first_name": "JENINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00543200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.