Organization Active NPI

Jenny Cam M.D. PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jersey City, NJ
National Provider Identifier
1427375179
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
JENNY CAM M.D. PC
Practice address
10 Huron Ave
Suite 1P
Jersey City, NJ 07306-3641
Phone
(201) 656-6003
Fax
(201) 656-4566
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
JENNY CAM M.D. PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Jenny G Cam, M.DNPI 1134132889
Title
Physician/Owner
Phone
(201) 656-6003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

10 Huron Ave
Suite 1P
Jersey City, NJ 07306-3641

Mailing address

10 Huron Ave
Suite 1P
Jersey City, NJ 07306-3641
Phone (201) 656-6003

Other identifiers 1

IdentifierTypeStateIssuer
3980600MedicaidNJ

Other names 1

  • Jenny G. Cam, MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000108 NJ Part B Supplier - Clinic/Group Practice 7315076932 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory
Part of
Jenny Cam MD PC

Locations

10 Huron Ave
Apt 1P
Jersey City, NJ 07306
Phone (201) 656-6003

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1427375179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HURON AVE",
            "address_2": "SUITE 1P",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063641",
            "telephone_number": "201-656-6003",
            "fax_number": "201-656-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HURON AVE",
            "address_2": "SUITE 1P",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063641",
            "telephone_number": "201-656-6003",
            "fax_number": "201-656-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY CAM M.D. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNY CAM  M.D.   PC",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "CAM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "201-656-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3980600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenny G. Cam, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.