Active NPI
Vincent A Jarrett, DO
- Specialist
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MB06260400
- Practice address
- 1103 S Delsea Dr
Vineland, NJ 08360-6263 - Phone
- (856) 696-5800
- Fax
- (856) 696-3503
- NPI assigned
- May 11, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MB06260400 | NJ | Primary |
Addresses
Primary practice location
1103 S Delsea Dr
Vineland, NJ 08360-6263
Mailing address
61 Skyline Cir
Sewell, NJ 08080-4345
Phone (856) 696-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8120706 | Medicaid | NJ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 Grove Ave
Suite F
West Deptford, NJ 08086-2557
Phone (856) 251-9100
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stat Imaging at Riverwinds | Current | Accepting new patients | |
| Shore Imaging Associates Marlton LLC | Current | Accepting new patients |
Locations
701 Route 38
Cherry Hill, NJ 08002
Phone (856) 486-9000
100 Brick Rd
Ste 101
Marlton, NJ 08053
Phone (856) 983-5599
1051 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 692-1198
204 Grove Ave
Ste F
West Deptford, NJ 08086
Phone (856) 251-9100
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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Thorofare, NJ
- NPI 1265588214
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Marlton, NJ
- NPI 1578628772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447200407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 SKYLINE CIR",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080804345",
"telephone_number": "856-696-5800",
"fax_number": "856-696-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 S DELSEA DR",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606263",
"telephone_number": "856-696-5800",
"fax_number": "856-696-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "VINCENT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MB06260400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8120706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.