NPIMap

Individual provider Active NPI

Jill Kraft Butler, MD

  • Internal Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1295706158
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA77026 Issued in NJ
Practice address
23 Main St Ste D1
Holmdel, NJ 07733-2136
Phone
(732) 571-1000
NPI assigned
Jan 30, 2006
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 MA77026 NJ Primary

Addresses

Primary practice location

23 Main St Ste D1
Holmdel, NJ 07733-2136

Mailing address

149 Mineral Spring Ave
Passaic, NJ 07055-2504
Phone (917) 273-9989

Other identifiers 1

IdentifierTypeStateIssuer
0036765MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040915001109 NJ Practitioner - Internal Medicine 3274500491 Reassigns benefits to 3 organizations
I20220401002049 NC Practitioner - Internal Medicine 3274500491 Reassigns benefits to 1 organization
I20220504002074 FL Practitioner - Internal Medicine 3274500491

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

3600 State Route 66
Neptune, NJ 07753-2645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA77026NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Feb 5, 2017 Accepting new patients
VPS Medical Services, PC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Feb 5, 2017 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine PastSince Aug 12, 2024 Accepting new patients

Locations

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jill.butler.p2@direct.vnahg.nextgenshare.com

Organizations & group practices 7

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 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1295706158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MINERAL SPRING AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552504",
            "telephone_number": "917-273-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE D1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332136",
            "telephone_number": "732-571-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JILL",
        "middle_name": "KRAFT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA77026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036765",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.