Individual provider Active NPI

Jorge D Quintana, MD

  • Psychiatry Physician
  • Rahway, NJ
National Provider Identifier
1326103128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA60018 Issued in NJ
Practice address
2366 St George Avenue
Rahway, NJ 07065
Phone
(732) 381-5700
Fax
(732) 381-5827
NPI assigned
Dec 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA60018 NJ Primary

Addresses

Primary practice location

2366 St George Avenue
Rahway, NJ 07065

Mailing address

2366 St George Avenue
Rahway, NJ 07065
Phone (732) 381-5700

Other identifiers 1

IdentifierTypeStateIssuer
8262306MedicaidNJ

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
I20040301000121 NJ Practitioner - Psychiatry 2567359102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1203 W Saint Georges Ave
Suite 1
Linden, NJ 07036-6167
Phone (908) 583-5151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60018NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge D Quintana MD CurrentSince Dec 10, 2014 Accepting new patients
Palisade Behavioral Care, PA Psychiatry PastSince Jun 12, 2022 Accepting new patients
NJ Behavioral Care Inc. Psychiatry PastSince Nov 1, 2021 Accepting new patients

Locations

1203 W Saint Georges Ave
Ste 1
Linden, NJ 07036
Phone (908) 583-5151

2366 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-5200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326103128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 ST GEORGE AVENUE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-381-5700",
            "fax_number": "732-381-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 ST GEORGE AVENUE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-381-5700",
            "fax_number": "732-381-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "JORGE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA60018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8262306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.