Active NPI
Jacqueline Ross, MD
- Allergy & Immunology Physician
- Ocean, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA09114400
- Practice address
- 802 W Park Ave
Suite 213
Ocean, NJ 07712-8527 - Phone
- (732) 695-2555
- Fax
- (732) 695-2552
- NPI assigned
- Jun 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25MA09114400 | NJ | Primary |
Addresses
Primary practice location
802 W Park Ave
Suite 213
Ocean, NJ 07712-8527
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242744ZVF5 | Other | NJ | MEDICARE PTAN |
| 242744ZKRP | Other | NJ | MEDICARE PTAN |
| 0297909 | Medicaid | NJ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000027 | NJ | Practitioner - Allergy/Immunology | 9931365038 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy Partners of NJ PC
Practice addresses (Care Compare)
802 W Park Ave
Suite 213
Ocean, NJ 07712-8526
Phone (732) 695-2555
Hospital & facility affiliations
- Jersey Shore University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners of NJ, PC | Allergy & Immunology | Current | Accepting new patients |
| Allergy Partners, PLLC | Allergy & Immunology | Past | Accepting new patients |
| Atlantic Allergy, Asthma & Immunology Associates of NJ LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
8 Tindall Rd
Middletown, NJ 07748
Phone (732) 671-7676
802 W Park Ave
Ste 213
Ocean, NJ 07712
Phone (732) 631-8976
553 Cedar Ln
Ste A
Teaneck, NJ 07666
Phone (201) 836-6400
504 Hamburg Tpke
Ste B103
Wayne, NJ 07470
Phone (973) 790-6707
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.
-
- Allergy & Immunology Physician
- Teaneck, NJ
- NPI 1467878405
Allergy & Immunology, NJ
-
- Allergy & Immunology Physician
- Ocean, NJ
- NPI 1508893033
Allergy & Immunology
-
- Allergy & Immunology Physician
- Greenville, SC
- NPI 1215927462
Allergy & Immunology
Hospital & facility affiliations 3
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": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1295055150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W PARK AVE",
"address_2": "SUITE 213",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077128527",
"telephone_number": "732-695-2555",
"fax_number": "732-695-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA09114400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "242744ZVF5",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "242744ZKRP",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0297909",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.