Active NPI
Jersey Premier Pain
- Family Nurse Practitioner
- Jersey City, NJ
National Provider Identifier
1427414010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- JERSEY PREMIER PAIN
- Practice address
- 550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326 - Phone
- (201) 386-8800
- Fax
- (201) 386-8801
- NPI assigned
- Jan 12, 2016
- Last updated
- Jan 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan T Mingoia
- Title
- Medical
- Phone
- (201) 436-0911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00645300 | NJ | |
| Chiropractor | 111N00000X | 38MC00473900 | NJ | |
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326
Mailing address
550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326
Phone (201) 386-8800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Bayonne, NJ
- NPI 1962462606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641254400000",
"number": "1427414010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-386-8800",
"fax_number": "201-386-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "SUITE 201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-386-8800",
"fax_number": "201-386-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY PREMIER PAIN",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-12",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "MINGOIA",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL",
"authorized_official_telephone_number": "201-436-0911",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00645300",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00473900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
- Jersey Liberty Radiology, LLC
- Jersey Liberty Radiology, P.C.
- Jersey Meds Pharmacy Inc (jersey meds pharmacy)
- Jersey Meds Pharmacy Inc
- Jersey Neurosciences
- Jersey Smiles
- Jersey Spine & Orthopedics PC
- Jersey Women's Care Center, Inc
- Jerseyjiva LLC (Jivamukti Yoga Center Jersey City)
- Paaneri Atul Jethwa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.