Individual provider Active NPI

Jimmy Dorcely, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Knolls, NJ
National Provider Identifier
1457968380
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01053600 Issued in NJ
Practice address
14 Ridgedale Ave
Cedar Knolls, NJ 07927-1106
Phone
(908) 447-7186
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01053600 NJ Primary

Addresses

Primary practice location

14 Ridgedale Ave
Cedar Knolls, NJ 07927-1106

Mailing address

922 Tyler Cir
Stewartsville, NJ 08886-2604
Phone (908) 447-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201110002627 NJ Practitioner - Nurse Practitioner 6002226677 Reassigns benefits to 4 organizations
I20241013000133 PA Practitioner - Nurse Practitioner 6002226677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians
PA Memory and Behavioral Care LLCGroup PAC ID 3476918558, 14 clinicians

Practice addresses (Care Compare)

1251 Route 22
Bridgewater, NJ 08807-2916
Phone (908) 237-4108

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

641 N 13TH St
Suite E 101
Easton, PA 18042-1430
Phone (973) 295-6335

Hospital & facility affiliations

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01053600NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Memory and Behavioral Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
NJ Memory and Behavioral Care CurrentSince Sep 15, 2020 Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 1, 2023 Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Jan 1, 2023 Accepting new patients
Hunterdon Medical Center CurrentSince May 22, 2021 Accepting new patients
Hunterdon Medical Center CurrentSince May 22, 2021 Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

215 State Route 31
#116
Flemington, NJ 08822

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

535 N 17th St
Allentown, PA 18104
Phone (610) 432-4351

641 N 13th St
#E101
Easton, PA 18042
Phone (908) 827-1482

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1457968380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 TYLER CIR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862604",
            "telephone_number": "908-447-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271106",
            "telephone_number": "908-447-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCELY",
        "first_name": "JIMMY",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01053600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.