Individual provider Active NPI

John P Neibert, MD

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1467493569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA066666 Issued in NJ
Practice address
10 Huron Ave
Suite 1 L
Jersey City, NJ 07306
Phone
(201) 798-6200
Fax
(201) 798-6207
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA066666 NJ Primary

Addresses

Primary practice location

10 Huron Ave
Suite 1 L
Jersey City, NJ 07306

Mailing address

280 River Rd
Apt 94B
Piscataway, NJ 08854-3564
Phone (201) 232-5018

Other identifiers 1

IdentifierTypeStateIssuer
7425104MedicaidNJ

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
I20040621001369 NJ Practitioner - Internal Medicine 4082699434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Yakobashvili,MD,LLCGroup PAC ID 1052460854, 12 clinicians

Practice addresses (Care Compare)

201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone (973) 975-3750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA066666NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Yakobashvili,MD,LLC Internal Medicine CurrentSince Feb 20, 2015 Accepting new patients
Medicenter One of JC Internal Medicine Past Accepting new patients
Nicola a. Vernese M.D., PC Past Accepting new patients
John P. Neibert M.D.,P.C. Internal Medicine PastSince Apr 1, 2004 Accepting new patients

Locations

201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300

3 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 360-9996

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467493569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIVER RD",
            "address_2": "APT 94B",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543564",
            "telephone_number": "201-232-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HURON AVE",
            "address_2": "SUITE 1 L",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-798-6200",
            "fax_number": "201-798-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBERT",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA066666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7425104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.