Active NPI
Jason T Pecarsky, M.D.
- Internal Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1487660684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA070418
- Practice address
- 1401 East Route 70 Suite 16
Cherry Hill, NJ 08034 - Phone
- (856) 427-4180
- Fax
- (856) 427-4181
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA070418 | NJ | Primary |
Addresses
Primary practice location
1401 East Route 70 Suite 16
Cherry Hill, NJ 08034
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8640009 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 E RT
70 Suite 16
Cherry Hill, NJ 08034-2207
Phone (856) 427-4180
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- West Jersey Hospital
- Penn Presbyterian Medical Center
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA070418 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Past | Accepting new patients |
Interoperability endpoints
- jason.pecarsky@advocaredoctors.eclinicaldirectplus.com
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1487660684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 EAST ROUTE 70 SUITE 16",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-427-4180",
"fax_number": "856-427-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECARSKY",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA070418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8640009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.