Active NPI
Jamie Lynn Neville Fernandes, MS, PA-C
- Physician Assistant
- Cranford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00219500
- Practice address
- 8 W End PL
Cranford, NJ 07016-1715 - Phone
- (201) 407-6459
- NPI assigned
- Aug 31, 2009
- Last updated
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00219500 | NJ | Primary |
| Medical Physician Assistant | 363AM0700X | 25MP00219500 | NJ |
Addresses
Primary practice location
8 W End PL
Cranford, NJ 07016-1715
Mailing address
865 Stone St
Rahway, NJ 07065-2742
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Central Ave
Clark, NJ 07066-1121
Phone (732) 499-0606
333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Collini, M.D., P.a. | Past | Accepting new patients | |
| St Marys General Medical Group PC | Past | Accepting new patients | |
| General and Vascular Surgical Associates of North Jersey, P.a. | Past | Accepting new patients | |
| Emergency Medical Consultants of South Jersey LLC | Past | Accepting new patients |
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1104309277
-
- General Practice Physician
- Newton, NJ
- NPI 1023358959
-
dba CarePoint Health Medical Group
- Internal Medicine Physician
- Hoboken, NJ
- NPI 1558673582
-
- Emergency Medicine Physician
- Paramus, NJ
- NPI 1851616544
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Hospitalist Physician
- East Orange, NJ
- NPI 1659523264
-
- Surgery Physician
- Clifton, NJ
- NPI 1518037068
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
-
- Specialist
- Newton, NJ
- NPI 1144426602
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1316170822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 STONE ST",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 W END PL",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070161715",
"telephone_number": "201-407-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE FERNANDES",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "MS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00219500",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00219500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.