NPIMap

Individual provider Active NPI

Jeffrey Evan Paley, M.D.

  • Internal Medicine Physician
  • Englewood, NJ
National Provider Identifier
1265604565
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA75257 Issued in NJ
Practice address
177 N Dean St Ste 203
Englewood, NJ 07631-2523
Phone
(201) 503-0833
Fax
(201) 503-0844
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211534 NY
Internal Medicine Physician 207R00000X MA75257 NJ Primary

Addresses

Primary practice location

177 N Dean St Ste 203
Englewood, NJ 07631-2523

Mailing address

177 N Dean St Ste 203
Englewood, NJ 07631-2523
Phone (201) 503-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040414000177 NY Practitioner - Internal Medicine 2365436177 Reassigns benefits to 1 organization
I20041013000382 NJ Practitioner - Internal Medicine 2365436177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

177 N Dean St
Suite 203
Englewood, NJ 07631-2523
Phone (201) 503-0833

184 E 70 St
New York, NY 10021-5154
Phone (212) 734-6570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA75257NJMDInternal Medicine Physician
211534NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Paley MD PC Internal Medicine CurrentSince Feb 17, 2003 Accepting new patients
Jeff Paley MD PC Internal Medicine CurrentSince Aug 3, 1998 Accepting new patients
Weill Medical College of Cornell University Past Accepting new patients

Locations

177 N Dean St
Ste 203
Englewood, NJ 07631
Phone (201) 503-0833

184 E 70th St
Ste B1
New York, NY 10021
Phone (212) 737-2270

184 E 70th St
#B
New York, NY 10021

184 E 70th St
New York, NY 10021
Phone (212) 734-6570

Interoperability endpoints

  • Direct secure messaging: jep2005@direct.nyp.org

Organizations & group practices 3

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 8

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1265604565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST STE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312523",
            "telephone_number": "201-503-0833",
            "fax_number": "201-503-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST STE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312523",
            "telephone_number": "201-503-0833",
            "fax_number": "201-503-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "JEFFREY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA75257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.