Jefferson University Physicians of New Jersey, P.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY, P.C.

Practice address

443 Laurel Oak Rd
Suite 130
Voorhees, NJ 08043-4419

Phone

(856) 741-0122

NPI assigned

Apr 25, 2016

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Padgett

Title

Credentialing Manager

Phone

(215) 955-1175

Specialties & licenses 3

Addresses

Tax ID family

Jefferson - Dorfner Family Practice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jefferson University Physicians of New Jersey, P.C.

  dba Jefferson - Dorfner Family Practice

  • Family Medicine Physician
  • Burlington, NJ
  • NPI 1932565801
  NPD tax ID
• Jefferson University Physicians of New Jersey, P.C.

  dba Jefferson Gastroenterology &Hepatology Associates

  • Gastroenterology Physician
  • Philadelphia, PA
  • NPI 1881077832
  NPD tax ID

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1487009767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937 SUITE 130",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LAUREL OAK RD",
            "address_2": "SUITE 130",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434419",
            "telephone_number": "856-741-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "215-955-1175"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenani Sarah Jayakumaran, MD
• Jeanne Legacy Support Services
• Cara Jean Jedlicka, LAC
• Jefferson University Physicians of New Jersey (Jefferson Kidney Transplant Special)
• Jefferson University Physicians of New Jersey, P.C.
• Jeffhome NJ, LLC. (Jefferson Health at Home by BAYADA)
• Jeffrey Martin Shubach D.M.D.; F.a.G.D.; P.a.
• Cynthia Jetter, DMD
• Donald Jetter, DMD
• Jewish Family and Children's Service of Southern New Jersey

• Registered Dietitian in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.