Active NPI
Jeanine Rose Doody, RN, ANP,ONP
- Adult Health Nurse Practitioner
- Middletown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 370028
- Practice address
- 480 Red Hill Rd
Middletown, NJ 07748-3052 - Phone
- (212) 639-3870
- Fax
- (646) 227-7106
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 370028 | NY | Primary |
Addresses
Primary practice location
480 Red Hill Rd
Middletown, NJ 07748-3052
Mailing address
1275 York Ave
C-869
New York, NY 10065-6007
Phone (212) 639-5873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 80.94
- Improvement activities
- 40
- Cost
- 65.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Monmouth | Current | Accepting new patients | |
| Mskcc Surgery Group | Current | Accepting new patients | |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Current | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
1275 York Ave
#C869
New York, NY 10065
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
205 E 64th St
New York, NY 10065
Phone (212) 639-3127
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jjerrodoody22754@mskcc.direct-ci.com
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 and National Provider Directory roles.
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
-
- Medical Oncology Physician
- Middletown, NJ
- NPI 1922459163
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1497877971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"address_2": "C-869",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 RED HILL RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077483052",
"telephone_number": "212-639-3870",
"fax_number": "646-227-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOODY",
"first_name": "JEANINE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "RN, ANP,ONP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "370028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.