Active NPI
Jeanne L Demoss, DO
- Cardiovascular Disease Physician
- East Brunswick, NJ
National Provider Identifier
1245263144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA05848500
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05848500 | NJ | MD | Cardiovascular Disease Physician |
| 25MB05848500 | NJ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Wood Johnson Medical Associates at Hamilton PA | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates at Hamilton PA | Current | Accepting new patients | |
| Cardiology Associates of New Brunswick, P.a. | Past | Accepting new patients |
Locations
328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273
Interoperability endpoints
- 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.
-
- General Practice Physician
- Linden, NJ
- NPI 1619206828
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1245587922
-
- General Practice Physician
- Secaucus, NJ
- NPI 1265012660
-
- Clinical Medical Laboratory
- East Brunswick, NJ
- NPI 1457548448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.