Active NPI
Jaymica Patel, MD
- Hospitalist Physician
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA08381000
- Practice address
- 509 N Broad St
Woodbury, NJ 08096-1617 - Phone
- (856) 686-5396
- Fax
- (856) 686-5332
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08381000 | NJ | |
| Hospitalist Physician | 208M00000X | 25MA08381000 | NJ | Primary |
Addresses
Primary practice location
509 N Broad St
Woodbury, NJ 08096-1617
Mailing address
52 W Red Bank Ave
Suite 26
Woodbury, NJ 08096-1695
Phone (856) 853-2025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186872 | Medicaid | NJ | |
| 12641PSW | Other | NJ | MEDICARE PROVIDER NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080711000243 | NJ | Practitioner - Hospitalist | 6406928118 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cooper Physician Offices PA
Practice addresses (Care Compare)
1210 Brace Rd
Cherry Hill, NJ 08034-3213
Phone (609) 428-6616
Hospital & facility affiliations
- Inspira Medical Center Mullica Hill
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 81.58
- Promoting interoperability
- 99.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Physician Offices, PA | Hospitalist | Current | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Organizations & group practices 1
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 3
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": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1235306952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 W RED BANK AVE",
"address_2": "SUITE 26",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961695",
"telephone_number": "856-853-2025",
"fax_number": "856-845-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961617",
"telephone_number": "856-686-5396",
"fax_number": "856-686-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAYMICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08381000",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA08381000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186872",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "12641PSW",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.