Active NPI
Jonathan S. Schiffman, MD
- Pediatrics Physician
- Passaic, NJ
National Provider Identifier
1528068830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA06830300
- Practice address
- 192 High St
Passaic, NJ 07055-4614 - Phone
- (973) 472-0365
- Fax
- (973) 472-1007
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA06830300 | NJ | Primary |
| Pediatrics Physician | 208000000X | 219512 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 25MA06830300 | NJ | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 219512 | NY |
Addresses
Primary practice location
192 High St
Passaic, NJ 07055-4614
Mailing address
192 High St
Passaic, NJ 07055-4614
Phone (973) 472-0365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8284202 | 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
- Pediatric Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Emergency Assoc PA | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Pediatric Critical Care Associates at Saint Barnabas | Pediatric Critical Care Medicine | Past | Accepting new patients |
| The Valley Hospital Inc. | Past | Accepting new patients | |
| First Choice Recovery Center PC | Past | Accepting new patients | |
| Emergency Medical Associates of New Jersey PA | Past | Accepting new patients |
Locations
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
Organizations & group practices 6
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.
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- NPI 1841456068
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- NPI 1962071910
-
- Pediatric Critical Care Medicine Physician
- Livingston, NJ
- NPI 1477501211
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1528068830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 HIGH ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554614",
"telephone_number": "973-472-0365",
"fax_number": "973-472-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 HIGH ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554614",
"telephone_number": "973-472-0365",
"fax_number": "973-472-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFMAN",
"first_name": "JONATHAN",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06830300",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "219512",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NJ",
"license": "25MA06830300",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "219512",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8284202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.