Active NPI
Marc A Jerome, MD
- Gynecology Physician
- Christiansted, VI
National Provider Identifier
1477680114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 1041
- Practice address
- 184 Ruby Plaza
Christiansted, VI 00820 - Phone
- (340) 778-5777
- Fax
- (340) 778-3161
- NPI assigned
- Feb 28, 2007
- Last updated
- Jun 24, 2015
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 1041 | VI | Primary |
Addresses
Primary practice location
184 Ruby Plaza
Christiansted, VI 00820
Mailing address
PO Box 25537
Christiansted, VI 00824-1537
Phone (340) 713-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VI LICENSE | Other | VI | 1041 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- 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
- Obstetrics/Gynecology
- Education
- Other, 1962
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3500 Estate Richmond
Christiansted, VI 00820-4370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041 | VI | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health Govt of the Virgin Islands | Current | Accepting new patients | |
| Department of Health, Govt of VI/MCH Clinic Elaine Co | Past | Accepting new patients | |
| Lesser Antilles Nephrology | Past | Accepting new patients |
Locations
3500 Estate Richmond
St Croix, VI 00820
Phone (340) 718-1311
Organizations & group practices 3
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.
-
- Public Health or Welfare Agency
- Christiansted, VI
- NPI 1225449713
-
- Public Health or Welfare Agency
- St Thomas, VI
- NPI 1083948186
-
- Medical Specialty Clinic/Center
- Christiansted, VI
- NPI 1538475017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1477680114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25537",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008241537",
"telephone_number": "340-713-9002",
"fax_number": "340-713-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 RUBY PLAZA",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "00820",
"telephone_number": "340-778-5777",
"fax_number": "340-778-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "MARC",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VI",
"license": "1041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1041",
"identifier": "VI LICENSE",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansted, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.