Active NPI
Jason Poco, PA-C
- Physician Assistant
- Somerset, NJ
National Provider Identifier
1417212192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00285600
- Practice address
- 1553 State Route 27 Ste 3100
Somerset, NJ 08873-3998 - Phone
- (732) 249-9400
- Fax
- (732) 249-9500
- NPI assigned
- Jul 9, 2012
- Last updated
- May 21, 2019
- 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 | 25MP00285600 | NJ | Primary |
Addresses
Primary practice location
1553 State Route 27 Ste 3100
Somerset, NJ 08873-3998
Mailing address
27 Belmont Ave
Old Bridge, NJ 08857-1120
Phone (732) 771-4808
Other practice location 1
1543 State Route 27
Suite 12
Somerset, NJ 08873-4015
Phone (732) 249-9400
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Sports & Spine Medicine, P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Physical Medicine & Rehabilitation Physician
- Somerset, NJ
- NPI 1770733362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1417212192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BELMONT AVE",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571120",
"telephone_number": "732-771-4808",
"fax_number": "732-249-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 STATE ROUTE 27 STE 3100",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733998",
"telephone_number": "732-249-9400",
"fax_number": "732-249-9500"
}
],
"practiceLocations": [
{
"address_1": "1543 State Route 27",
"address_2": "Suite 12",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "NJ",
"postal_code": "088734015",
"country_code": "US",
"telephone_number": "732-249-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POCO",
"first_name": "JASON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00285600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.