Individual provider Active NPI

Vincent A Jarrett, DO

  • Specialist
  • Vineland, NJ
National Provider Identifier
1447200407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MB06260400 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8120706MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000676 NJ Practitioner - Diagnostic Radiology 3577547140 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Imaging at Riverwinds CurrentSince Aug 24, 2011 Accepting new patients
Shore Imaging Associates Marlton LLC CurrentSince Jan 4, 2018 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.

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

Verify at the official NPI Registry.