Individual provider Active NPI

Janice Beth Taitel, M.D.

  • Pediatrics Physician
  • Dover, NJ
National Provider Identifier
1306937172
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06116100 Issued in NJ
Practice address
17 S Warren St
Dover, NJ 07801-4506
Phone
(973) 328-9100
Fax
(973) 328-6817
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06116100 NJ Primary

Addresses

Primary practice location

17 S Warren St
Dover, NJ 07801-4506

Mailing address

115 W Lake Shore Dr
Rockaway, NJ 07866-1001
Phone (973) 586-4640

Other identifiers 2

IdentifierTypeStateIssuer
0013676MedicaidNJ
0038750MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06116100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center,Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janice.taitel@zhc.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1306937172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W LAKE SHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661001",
            "telephone_number": "973-586-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S WARREN ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078014506",
            "telephone_number": "973-328-9100",
            "fax_number": "973-328-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITEL",
        "first_name": "JANICE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06116100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013676",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038750",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.