Individual provider Active NPI

Jeffrey S Saperstein, M.D.

  • Pediatrics Physician
  • West Orange, NJ
National Provider Identifier
1316057250
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA73196 Issued in NJ
Practice address
395 Pleasant Valley Way
The Pediatric Group of West Orange
West Orange, NJ 07052-2998
Phone
(973) 731-6100
Fax
(973) 731-0612
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 MA73196 NJ Primary

Addresses

Primary practice location

395 Pleasant Valley Way
The Pediatric Group of West Orange
West Orange, NJ 07052-2998

Mailing address

395 Pleasant Valley Way
The Pediatric Group of West Orange
West Orange, NJ 07052-2998
Phone (973) 731-6100

Other identifiers 1

IdentifierTypeStateIssuer
0064769MedicaidNJ

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
I20150828001093 NJ Practitioner - Pediatric Medicine 7315253804 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA73196NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Sep 28, 2015 Accepting new patients
Summit Medical Group PA CurrentSince Sep 28, 2015 Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

Interoperability endpoints

  • Direct secure messaging: jeffrey.saperstein.1@2983.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1316057250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PLEASANT VALLEY WAY",
            "address_2": "THE PEDIATRIC GROUP OF WEST ORANGE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522998",
            "telephone_number": "973-731-6100",
            "fax_number": "973-731-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PLEASANT VALLEY WAY",
            "address_2": "THE PEDIATRIC GROUP OF WEST ORANGE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522998",
            "telephone_number": "973-731-6100",
            "fax_number": "973-731-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPERSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA73196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064769",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.