James E Gervasoni Jr., M.D.,

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA7045600 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-8600

Fax

(732) 249-5284

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General SurgeryAlso: Surgical Oncology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.gervasoni.jr.2@8568.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
• Direct secure messaging: james.gervasoni.jr.1@8568.direct.athenahealth.com

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.

• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment Care Compare group NPD
• Saint Peter'S Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  NPD
• Saint Peter'S University Hospital

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• Princeton Specialty Group

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1386670990
  NPD (past)
• St. Francis Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1255419651
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Care Compare affiliation

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396807145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600",
            "fax_number": "732-249-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600",
            "fax_number": "732-249-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASONI",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA7045600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mridula A George
• Renu George, MD
• Eliane Orpha Geren, M.S., R.D., C.D.E.
• Janice L Germain, APN C
• F. Joseph Germino
• Umar Ghaffar, MD
• Lamberta Ghaly, MD
• Mecide Gharibo
• Meghana Ghattu, MD
• Mark Ghobrial

• Specialist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.