NPIMap

Individual provider Active NPI

Ejaz Nazeer Jafri, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Northfield, IL
National Provider Identifier
1225408289
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001883 Issued in IL
Practice address
405 Central Ave
Northfield, IL 60093-3006
Phone
(847) 441-5600
NPI assigned
Oct 3, 2015
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016613 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001883 IL Primary

Addresses

Primary practice location

405 Central Ave
Northfield, IL 60093-3006

Mailing address

26W307 Geneva Rd
Wheaton, IL 60187-2237
Phone (630) 251-0206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001902 IL Practitioner - Nurse Practitioner 9830458041 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Josselyn Center NFPGroup PAC ID 0840289740, 86 clinicians
Ranganathan T LTDGroup PAC ID 4284060484, 5 clinicians

Practice addresses (Care Compare)

1135 Skokie Blvd
Northbrook, IL 60062-4118
Phone (847) 441-5600

555 Wilson LN
Des Plaines, IL 60016-4729
Phone (248) 699-7850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Josselyn Center NFP Current Accepting new patients
Paragon Clinical LLC Family CurrentSince Mar 24, 2024 Accepting new patients
Metropolitan Behavioral Associates, Inc. CurrentSince Dec 26, 2018 Accepting new patients
Ranganathan T LTD CurrentSince May 1, 2020 Accepting new patients
The Josselyn Center NFP CurrentSince Jul 10, 2023 Accepting new patients
Advance Psychiatry & Counseling, SC. CurrentSince Dec 3, 2017 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
The Josselyn Center NFP CurrentSince Jul 10, 2023 Accepting new patients
The Josselyn Center NFP Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1 Tiffany Pt
Ste 206
Bloomingdale, IL 60108
Phone (630) 924-1160

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

Dept 5973
Carol Stream, IL 60122

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

1135 Skokie Blvd
Northbrook, IL 60062
Phone (224) 290-1327

1850 Oak St
Fl 2
Northfield, IL 60093

405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603

1000 Dixon Rd
Rock Falls, IL 61071
Phone (815) 625-8510

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1225408289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W307 GENEVA RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872237",
            "telephone_number": "630-251-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933006",
            "telephone_number": "847-441-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "EJAZ",
        "middle_name": "NAZEER",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-03",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016613",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.