Individual provider Active NPI

Jaclyn Jankowski, D.O.

  • Orthopaedic Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1225491483
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MB11067400 Issued in NJ
Practice address
395 Grand St
Department of Orthopedic Surgery
Jersey City, NJ 07302-4238
Phone
(201) 521-5934
Fax
(201) 915-2025
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 25MB11067400 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25MB11067400 NJ Primary

Addresses

Primary practice location

395 Grand St
Department of Orthopedic Surgery
Jersey City, NJ 07302-4238

Mailing address

297 Pavonia Ave Apt 1a
Jersey City, NJ 07302-1541
Phone (508) 523-3544

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005000195 NJ Practitioner - Orthopedic Surgery 3476951518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of New England, College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 322-7020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Barnabas Health Medical Group PC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

100 Town Square Pl
Ste 408
Jersey City, NJ 07310
Phone (201) 626-6210

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

100 Town Square Pl
Ste 208
Jersey City, NJ 07310
Phone (201) 716-5850

377 Jersey Ave
Ste 550
Jersey City, NJ 07302
Phone (201) 716-5850

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

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.

Hospital & facility affiliations 6

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1225491483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 PAVONIA AVE APT 1A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021541",
            "telephone_number": "508-523-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 GRAND ST",
            "address_2": "DEPARTMENT OF ORTHOPEDIC SURGERY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024238",
            "telephone_number": "201-521-5934",
            "fax_number": "201-915-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "JACLYN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-06-28",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MB11067400",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB11067400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.