Individual provider Active NPI

Jeanne L Demoss, DO

  • Cardiovascular Disease Physician
  • East Brunswick, NJ
National Provider Identifier
1245263144
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA05848500 Issued in NJ
Practice address
593 Cranbury Rd
Suite 2
East Brunswick, NJ 08816-4093
Phone
(732) 390-3333
Fax
(732) 390-9244
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA05848500 NJ Primary
Nuclear Cardiology Physician 207UN0901X 25MB05848500 NJ

Addresses

Primary practice location

593 Cranbury Rd
Suite 2
East Brunswick, NJ 08816-4093

Mailing address

593 Cranbury Rd
Suite 2
East Brunswick, NJ 08816-4093
Phone (732) 390-3333

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
I20050517000743 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951342245 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA05848500NJMDCardiovascular Disease Physician
25MB05848500NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Apr 1, 2022 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Apr 1, 2022 Accepting new patients
Cardiology Associates of New Brunswick, P.a. PastSince Sep 1, 2014 Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

Interoperability endpoints

  • Direct secure messaging: jdemoss14984@epicdirect.rwjbh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1245263144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 CRANBURY RD",
            "address_2": "SUITE 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164093",
            "telephone_number": "732-390-3333",
            "fax_number": "732-390-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 CRANBURY RD",
            "address_2": "SUITE 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164093",
            "telephone_number": "732-390-3333",
            "fax_number": "732-390-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "JEANNE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA05848500",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MB05848500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.