Jack Nathaniel Newman Jr., M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D75445 Issued in MD

Practice address

3903 Briar Knoll Cir
Phoenix, MD 21131-2132

Phone

(919) 630-1616

NPI assigned

Jan 3, 2006

Last updated

Nov 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, NJ, PA, MD, NY, CA, KY, DC, OH, GA, FL, TX, KS, IA, IN, MO, IL, AZ, VA, OK, SC, AL22 enrollments

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 22

Specialty

Cardiovascular Disease (Cardiology)

Education

George Washington University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians

Kan-Di-Ki LLCGroup PAC ID 5991737140, shared by 13 NPIs, 38 clinicians

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  GA, IL, MD, NY, TX

  Medicare reassignment Care Compare group
• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  DC, GA, IL, KY, MD, MO, NC, NJ, NY, OH, TX, VA

  Medicare reassignment Care Compare group
• Cardiovascular Associates of Maryland LLC

  • Cardiovascular Disease Physician
  • Bel Air, MD
  • NPI 1447680137
  Medicare reassignment NPD
• Allied Mobile Imaging, LLC

  • Body Imaging Physician
  • Phoenix, AZ
  • NPI 1154918811
  Medicare reassignment NPD
• Direct Radiology PLLC

  • Diagnostic Radiology Physician
  • Bothell, WA
  • NPI 1144572173

  MD

  Medicare reassignment NPD
• Dynamic Medical Imaging-Dmi, Inc

  • Radiology Clinic/Center
  • Union, NJ
  • NPI 1528753993
  Medicare reassignment NPD
• E H Managment Company , Inc

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1487895918
  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  Cardiovascular Disease, MD

  Medicare reassignment NPD
• Georgia Health Imaging

  • Radiology Clinic/Center
  • Lawrenceville, GA
  • NPI 1700912532
  Medicare reassignment NPD
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1851613764
  Medicare reassignment NPD
• Maverick County Rural Radiologists P a

  • Diagnostic Radiology Physician
  • Eagle Pass, TX
  • NPI 1437117181

  MD

  Medicare reassignment NPD
• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment NPD

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1215915012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 BRIAR KNOLL CIR",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312132",
            "telephone_number": "919-630-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 BRIAR KNOLL CIR",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312132",
            "telephone_number": "919-630-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JACK",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "99-01450",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "48806",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D75445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Miller, DPT
• Patrick Aidan Murphy, M.D.
• Brandon Nehus
• Nicole Neukum
• Neurofit, LLC
• Thuy-Linh Duy Nguyen, D.P.M.
• North Wake Cardiovascular Center PLLC (Telecardiology Solutions LLC)
• Catherine Anderson North, M.D.
• Paper Mill Pharmacy, Inc
• Joan Ledvina Parr, PH.D.

• Cardiovascular Disease Physician in Phoenix, MD
• Providers in Phoenix, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.