Jeremy L. Davis, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00932500 Issued in NJ

Practice address

50 Harrison St Ste 212F
Hoboken, NJ 07030-6087

Phone

(201) 484-8950

NPI assigned

Jul 5, 2019

Last updated

Sep 7, 2020By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KB Physiatry LLCGroup PAC ID 9032579842, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.74 of 100Reported as group

Quality

78.01

Improvement activities

40

Cost

65.13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• KB Physiatry LLC

  • Physical Medicine & Rehabilitation Physician
  • Perth Amboy, NJ
  • NPI 1437879749
  Medicare reassignment Care Compare group NPD
• Elena Napolitano, MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Livingston, NJ
  • NPI 1699958363
  Medicare reassignment NPD
• Jersey Rehab PA

  • Physical Medicine & Rehabilitation Physician
  • Belleville, NJ
  • NPI 1629005012
  Medicare reassignment NPD
• Yes Wellness PA

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1730656463
  Medicare reassignment NPD
• Alice Tzeng MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Metuchen, NJ
  • NPI 1578892170
  NPD
• Jersey Rehab, PA

  • Interventional Pain Medicine Physician
  • Rumson, NJ
  • NPI 1629505490
  NPD

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1407418957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST STE 212F",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "201-484-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST STE 212F",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "201-484-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEREMY",
        "middle_name": "L.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00932500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dauphin, LCSW
• Tamar Lynn Davidson, LCSW
• Shyla Davis Cadogan, RD
• Ashley Davis, OTR/L
• Harold Matthew Davis, M.D.
• Sally A Davis, CNS AND LCADC
• Vita Davydov
• Michael De la Cruz, DPT
• Christopher De Los Santos, DPT
• Claudia Sofia De Lucca, MD

• Primary Care Nurse Practitioner in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.