Active NPI
Jillian Ruth Pincus, M.D.
- Nephrology Physician
- Chatham, NJ
National Provider Identifier
1376703512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA03103100
- Practice address
- 1 Plymouth Rd
Chatham, NJ 07928-1814 - Phone
- (973) 635-6055
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA03103100 | NJ | Primary |
Addresses
Primary practice location
1 Plymouth Rd
Chatham, NJ 07928-1814
Mailing address
1 Plymouth Rd
Chatham, NJ 07928-1814
Phone (973) 635-6055
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03103100 | NJ | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1376703512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PLYMOUTH RD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281814",
"telephone_number": "973-635-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PLYMOUTH RD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281814",
"telephone_number": "973-635-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCUS",
"first_name": "JILLIAN",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA03103100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.