Individual provider Active NPI

Jedd Easton Dillman, CRNA

  • Certified Registered Nurse Anesthetist
  • Livingston, NJ
National Provider Identifier
1568098655
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ01040700 Issued in NJ
Practice address
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone
(973) 322-5180
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR19255000 NJ
Certified Registered Nurse Anesthetist 367500000X 728906 NY
Certified Registered Nurse Anesthetist 367500000X 26NJ01040700 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201008000034 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092134262 Reassigns benefits to 1 organization
I20221206002598 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092134262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Practice addresses (Care Compare)

495 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7778
Phone (732) 836-9800

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR19255000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Feb 1, 2021 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Nov 13, 2023 Accepting new patients
Syracuse Gastroenterological Associates.PC Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Oct 1, 2022 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

41 Arthur St
East Brunswick, NJ 08816
Phone (718) 948-8880

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

7 Southwoods Blvd
Ste 4
Albany, NY 12211

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

777 Zeckendorf Blvd
Garden City, NY 11530
Phone (516) 663-3700

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1568098655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "JEDD",
        "middle_name": "EASTON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR19255000",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "728906",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01040700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.