Individual provider Active NPI

Imraan Jan, DO

  • Radiation Oncology Physician
  • New Brunswick, NJ
National Provider Identifier
1306337175
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MB11706700 Issued in NJ
Practice address
195 Little Albany St RM 2013
New Brunswick, NJ 08901-1914
Phone
(732) 253-3956
NPI assigned
May 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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 OT018356 PA
Radiation Oncology Physician 2085R0001X 25MB11706700 NJ Primary

Addresses

Primary practice location

195 Little Albany St RM 2013
New Brunswick, NJ 08901-1914

Mailing address

195 Little Albany St RM 2013
New Brunswick, NJ 08901-1914
Phone (732) 253-3956

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8000

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
I20230801003724 NJ Practitioner - Radiation Oncology 6406101286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2575 Klockner Rd
Hamilton, NJ 08690-2801
Phone (609) 631-6960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
70.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT018356PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Radiation Oncology Current Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Internal Medicine Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 30, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 30, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

2575 Klockner Rd
Hamilton, NJ 08690
Phone (609) 584-2801

195 Little Albany St
Rm 2013
New Brunswick, NJ 08901
Phone (732) 253-3956

210 Somerset St
Fl 14
New Brunswick, NJ 08901

165 Somerset St
New Brunswick, NJ 08901
Phone (754) 246-9667

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Interoperability endpoints

  • Direct secure messaging: ijan47873@epicdirect.rwjbh.org

Organizations & group practices 6

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": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1306337175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST RM 2013",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-253-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST RM 2013",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-253-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAN",
        "first_name": "IMRAAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-28",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT018356",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB11706700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.