Individual provider Active NPI

Jeffrey A. Taylor, PA

  • Physician Assistant
  • Edison, NJ
National Provider Identifier
1427084466
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00084300 Issued in NJ
Practice address
135 Raritan Center Pkwy
Concentra Medical Center
Edison, NJ 08837-3625
Phone
(732) 225-5454
Fax
(732) 417-0003
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00084300 NJ Primary

Addresses

Primary practice location

135 Raritan Center Pkwy
Concentra Medical Center
Edison, NJ 08837-3625

Mailing address

135 Raritan Center Pkwy
Concentra Medical Center
Edison, NJ 08837-3625
Phone (732) 225-5454

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
I20040525001635 NJ Practitioner - Physician Assistant 9537140645 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004660NYMDAcupuncturist
25MP00084300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Mar 1, 2011 Accepting new patients
American Current Care of New Jersey PA CurrentSince Mar 1, 2011 Accepting new patients
American Current Care of New Jersey PA Current Accepting new patients

Locations

135 Raritan Center Pkwy
Edison, NJ 08837
Phone (732) 225-5454

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1427084466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RARITAN CENTER PKWY",
            "address_2": "CONCENTRA MEDICAL CENTER",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373625",
            "telephone_number": "732-225-5454",
            "fax_number": "732-417-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RARITAN CENTER PKWY",
            "address_2": "CONCENTRA MEDICAL CENTER",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373625",
            "telephone_number": "732-225-5454",
            "fax_number": "732-417-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00084300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.