Individual provider Active NPI

Jeffrey R Jaeger, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Camden, NJ
National Provider Identifier
1265469175
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
25MA12410600 Issued in NJ
Practice address
800 Cooper St Ste 4004TH
Camden, NJ 08102-1155
Phone
(856) 342-3040
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD053632L PA
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD053632L PA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 25MA12410600 NJ Primary

Addresses

Primary practice location

800 Cooper St Ste 4004TH
Camden, NJ 08102-1155

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

3701 Market St
7th Fl Ste 760
Philadelphia, PA 19104
Phone (215) 349-5600

Other identifiers 1

IdentifierTypeStateIssuer
0016568270004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100831000585 PA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Hospitalist 5698899474 Reassigns benefits to 3 organizations
I20241114000538 NJ Practitioner - Addiction Medicine 5698899474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

800 Cooper St
FL 4
Camden, NJ 08102-1155
Phone (856) 342-3040

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD053632LPAMDAddiction Medicine (Internal Medicine) Physician
25MA12410600NJMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince May 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 1, 1966 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Nov 1, 2024 Accepting new patients
Trustees of the University of Pennsylvania Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince May 1, 2022 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Jan 1, 1966 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Nov 1, 2024 Accepting new patients
CMC Psychiatric Associates, PC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

200 College Dr
Ste 0
Blackwood, NJ 08012

3 Cooper Plz
Rm 513
Camden, NJ 08103
Phone (856) 963-3518

800 Cooper St
Fl 4
Camden, NJ 08102
Phone (856) 342-3040

808 Market St
Ste 2
Camden, NJ 08102
Phone (856) 272-3600

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

800 Cooper St
Ste 4004TH
Camden, NJ 08102
Phone (856) 342-3040

800 Cooper St
Ste 400
Camden, NJ 08102
Phone (856) 342-3040

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

390 N Broadway
Ste 0
Pennsville, NJ 08070

150 Monument Rd
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 617-2400

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

3701 Market St
Ste 741
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Ste 760
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Ste 640
Philadelphia, PA 19104
Phone (215) 662-2250

3549 Chestnut St
Philadelphia, PA 19104
Phone (215) 662-7005

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: jjaeger192138@direct.cooperhealth.edu

Organizations & group practices 11

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 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1265469175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COOPER ST STE 4004TH",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021155",
            "telephone_number": "856-342-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Market St",
            "address_2": "7th Fl Ste 760",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-349-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053632L",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD053632L",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA12410600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016568270004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.