Individual provider Active NPI

Jamie Price, PA

  • Physician Assistant
  • Denville, NJ
National Provider Identifier
1497930515
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00312500 Issued in NJ
Practice address
25 Pocono Rd
Emergency Dept
Denville, NJ 07834-2954
Phone
(973) 625-6078
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012161-1 NY
Physician Assistant 363A00000X 25MP00312500 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
Emergency Dept
Denville, NJ 07834-2954

Mailing address

25 Pocono Rd
Emergency Dept
Denville, NJ 07834-2954
Phone (973) 625-6078

Other names 1

  • Miss Jamie Tam Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131220000090 NJ Practitioner - Physician Assistant 9830273523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of New Jersey PCGroup PAC ID 4082754759, 12 clinicians

Practice addresses (Care Compare)

52 Deforest Ave
Summit, NJ 07901-1930
Phone (908) 516-2135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012161-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Applebaum Farkas MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamie.price@nancyaspinellido.chartmakerdirect.com
  • Direct secure messaging: jprice@advderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1497930515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "address_2": "EMERGENCY DEPT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "address_2": "EMERGENCY DEPT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012161-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00312500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "TAM",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.