Jie Jin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA07644600 Issued in NJ

Practice address

250 Old Hook Road 2ND Floor
Westwood, NJ 07675

Phone

(201) 358-3190

Fax

(201) 358-6622

NPI assigned

Mar 8, 2006

Last updated

Sep 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holy Name Anesthesia PartnersGroup PAC ID 6204167976, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

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.

• Holy Name Anesthesia Partners

  • Anesthesiology Physician
  • Teaneck, NJ
  • NPI 1457907461
  Medicare reassignment Care Compare group NPD
• Ambulatory Center for Endoscopy, LLC

  dba Hudson Bergen Endo-surgical Center

  • Ambulatory Surgical Clinic/Center
  • North Bergen, NJ
  • NPI 1184009326
  Medicare reassignment
• Ambulatory Center for Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • North Bergen, NJ
  • NPI 1003842626
  NPD
• Hudson Pain Management and Rehab Medical PC

  • Pain Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1477717353
  NPD (past)
• MPV New Jersey MD Services PC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
  • NPI 1801542816
  NPD (past)
• Westwood Anesthesia Associates, P.a.

  • Specialist
  • Westwood, NJ
  • NPI 1902939770

  Anesthesiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1225006117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-358-3190",
            "fax_number": "201-358-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HOOK ROAD 2ND FLOOR",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-358-3190",
            "fax_number": "201-358-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "JIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07644600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Lee Optometry LLC
• J.R. Opticians
• Jibin Jacob
• Janet Viggiano Wellness
• Jestina Jimmy, DPT
• JM Opticians
• John McNerney Dba Dr John McNerney
• John P Chibbaro, DDS PA
• Alexandra Johnson, OT
• Victoria Rose Johnson, LCSW

• Anesthesiology Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.