Joseph Jimenez, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MA08277400 Issued in NJ

Practice address

952 Main St
Hackensack, NJ 07601-5171

Phone

(201) 724-1856

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Airport Plaza Spine and Wellness LLCGroup PAC ID 3173801982, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Airport Plaza Spine & Wellness LLC

  • Interventional Pain Medicine Physician
  • Hazlet, NJ
  • NPI 1881053197
  Medicare reassignment Care Compare group NPD
• Rehability Sports Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Freehold, NJ
  • NPI 1851935837
  Medicare reassignment NPD Authorized official
• Denville Medical Health Center & Sports Rehab P.C.

  • Chiropractor
  • Denville, NJ
  • NPI 1003836420
  Medicare reassignment NPD
• Mid Hudson Physicians, P.C.

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1811949589
  Medicare reassignment NPD
• Rehability LLC

  • Chiropractor
  • Freehold, NJ
  • NPI 1447379177
  NPD
• Advanced Spine Care and Physical Rehabilitation,LLC

  • Multi-Specialty Clinic/Center
  • Jackson, NJ
  • NPI 1891816914
  NPD (past)
• Northeast Sports Medicine Group, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
  • NPI 1811010549
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1437310448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015171",
            "telephone_number": "201-880-1400",
            "fax_number": "201-604-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015171",
            "telephone_number": "201-724-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MA08277400",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08277400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Pyomin Jeon, MD
• Jeren Enterprises
• Jersey Healthcare Resources, LLC
• Wendy C Jeshion, MD
• Rui Jian, DMD
• Karina Jimenez, RPT
• Jitendra J. Lodhavia M.D. , P.a.
• Jkare LLC
• Joanne Guadara & Maryanne Guadara Partners
• Joanne Guadara, LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.