Individual provider Active NPI

Jamille V Jnbaptiste

  • Student in an Organized Health Care Education/Training Program
  • Glen Burnie, MD
National Provider Identifier
1396211496
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
332 Highland Dr Apt 104
Glen Burnie, MD 21061-6097
Phone
(646) 500-9599
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

332 Highland Dr Apt 104
Glen Burnie, MD 21061-6097

Mailing address

332 Highland Dr Apt 104
Glen Burnie, MD 21061-6097
Phone (646) 500-9599

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225001446 NJ Practitioner - Physician Assistant 4789011198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

100 Mazdabrook Rd
Parsippany, NJ 07054-3304
Phone (973) 952-5300

11 History LN
Jackson, NJ 08527-2209
Phone (732) 367-6600

1621 Route 22
Bound Brook, NJ 08805-1248
Phone (732) 718-7464

291 Village Rd E
West Windsor, NJ 08550-2425
Phone (888) 883-1796

515 Jack Martin Blvd
Brick, NJ 08724-7744
Phone (732) 836-1400

93 Manalapan Ave
Freehold, NJ 07728-1626
Phone (732) 333-3011

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1396211496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HIGHLAND DR APT 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616097",
            "telephone_number": "646-500-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHLAND DR APT 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616097",
            "telephone_number": "646-500-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JNBAPTISTE",
        "first_name": "JAMILLE",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.