Active NPI
Marquis Jefferson, PA-C
- Physician Assistant
- Delran, NJ
National Provider Identifier
1376281972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00693000
- Practice address
- 8001 US-130
Delran, NJ 08075 - Phone
- (856) 461-1400
- NPI assigned
- May 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00693000 | NJ | Primary |
Addresses
Primary practice location
8001 US-130
Delran, NJ 08075
Mailing address
9 Fawn CT
Delran, NJ 08075-1643
Phone (609) 222-1880
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000
712 E Bay Ave
Suite 18
Manahawkin, NJ 08050-3447
Phone (212) 283-3000
8001 Route 130
Delran, NJ 08075-1870
Phone (212) 283-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00693000 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen S Harkaway MD LLC | Past | Accepting new patients |
Interoperability endpoints
- marquis.jefferson@schweigerderm.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- Dermatology Physician
- Delran, NJ
- NPI 1619073723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1376281972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FAWN CT",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080751643",
"telephone_number": "609-222-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 US-130",
"city": "DELRAN",
"state": "NJ",
"postal_code": "08075",
"telephone_number": "856-461-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "MARQUIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00693000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.