Individual provider Active NPI

Eric G Jahn, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1265542633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05849900 Issued in NJ
Practice address
277 George St
Eric B Chandler Health Center
New Brunswick, NJ 08901-1311
Phone
(732) 235-6733
Fax
(732) 235-6726
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05849900 NJ Primary

Addresses

Primary practice location

277 George St
Eric B Chandler Health Center
New Brunswick, NJ 08901-1311

Mailing address

277 George St
Eric B Chandler Health Center
New Brunswick, NJ 08901-1311
Phone (732) 235-6733

Other identifiers 1

IdentifierTypeStateIssuer
5248205MedicaidNJ

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
I20090414000581 NJ Practitioner - Internal Medicine 9032266853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Church St
New Brunswick, NJ 08901-2001
Phone (732) 235-6700

277 George St
New Brunswick, NJ 08901-1311

277 George St
New Brunswick, NJ 08901-1476
Phone (732) 235-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Mar 2, 2009 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Mar 2, 2009 Accepting new patients

Locations

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

277 George St
#B
New Brunswick, NJ 08901
Phone (732) 235-6733

Interoperability endpoints

  • Direct secure messaging: ejahn17103@epicdirect.rwjbh.org
  • FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265542633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "address_2": "ERIC B CHANDLER HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6733",
            "fax_number": "732-235-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GEORGE ST",
            "address_2": "ERIC B CHANDLER HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011311",
            "telephone_number": "732-235-6733",
            "fax_number": "732-235-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHN",
        "first_name": "ERIC",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05849900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5248205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.