Individual provider Active NPI

Emilia C Eiras, M.D.

  • Internal Medicine Physician
  • Jackson, NJ
National Provider Identifier
1285640037
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA040189 Issued in NJ
Practice address
702 Brewers Bridge Rd
Jackson, NJ 08527-2020
Phone
(732) 905-9630
Fax
(732) 905-0837
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 25MA040189 NJ Primary

Addresses

Primary practice location

702 Brewers Bridge Rd
Jackson, NJ 08527-2020

Mailing address

702 Brewers Bridge Rd
Jackson, NJ 08527-2020
Phone (732) 905-9630

Other identifiers 1

IdentifierTypeStateIssuer
1109804MedicaidNJ

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
I20051006000180 NJ Practitioner - Internal Medicine 3779508015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

702 Brewers Bridge Rd
Suite 2
Jackson, NJ 08527-2052
Phone (732) 905-9630

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score
23.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA040189NJMDInternal Medicine Physician

Organizations & group practices 1

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 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1285640037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BREWERS BRIDGE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272020",
            "telephone_number": "732-905-9630",
            "fax_number": "732-905-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BREWERS BRIDGE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272020",
            "telephone_number": "732-905-9630",
            "fax_number": "732-905-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIRAS",
        "first_name": "EMILIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA040189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.